Healthcare Provider Details

I. General information

NPI: 1205167244
Provider Name (Legal Business Name): DOLAINNA PHYSICAL THERAPY CENTER INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/14/2010
Last Update Date: 01/14/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3760 CAHUENGA BLVD UNIT 204
STUDIO CITY CA
91604-3578
US

IV. Provider business mailing address

3760 CAHUENGA BLVD UNIT 204
STUDIO CITY CA
91604-3578
US

V. Phone/Fax

Practice location:
  • Phone: 181-876-3363
  • Fax:
Mailing address:
  • Phone: 181-876-3363
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QP2000X
TaxonomyPhysical Therapy Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: SVETLANA ESTEPANYAN
Title or Position: PRESIDENT
Credential:
Phone: 18187633636