MEDICARE: PHYSICAL THERAPY CARE, INC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	225X00000X	Occupational Therapist
2	225100000X	Physical Therapist

General Provider Information

NPI Number	:	1033299029
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	PHYSICAL THERAPY CARE, INC

Provider Business Mailing Address
First Line	:	6214 W MANCHESTER AVE
Second Line	:
City	:	LOS ANGELES
State	:	CA
Zip	:	90045-3801
Country	:	US
Telephone Number	:	310-348-8464
Fax Number	:	310-348-8470

Provider Business Practice Location Address
First Line	:	6214 W MANCHESTER AVE
Second Line	:
City	:	LOS ANGELES
State	:	CA
Zip	:	90045-3801
Country	:	US
Telephone Number	:	310-348-8464
Fax Number	:	310-348-8470

Authorized Official
Title or Position	:	OFFICE MANAGER
Name	:	CHRISTINE URAN III
Credential	:
Telephone Number	:	310-348-8464

Provider Enumeration Date	:	10/16/2006
Last Update Date	:	04/24/2008

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Directions to “PHYSICAL THERAPY CARE, INC ” Practice Location

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