Healthcare Provider Details

I. General information

NPI: 1649320813
Provider Name (Legal Business Name): THOMAS REED PHYSICAL THERAPY INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/11/2007
Last Update Date: 06/18/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7232 VAN NUYS BLVD STE 203
VAN NUYS CA
91405-2231
US

IV. Provider business mailing address

22647 VENTURA BLVD # 358
WOODLAND HILLS CA
91364-1416
US

V. Phone/Fax

Practice location:
  • Phone: 818-786-9012
  • Fax: 818-786-5729
Mailing address:
  • Phone: 818-786-9012
  • Fax: 818-786-5729

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: MERLE THOMAS REED
Title or Position: PRESIDENT
Credential: DPT
Phone: 818-786-9012