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NPI Code Detail

MEDICARE: VARGO PHYSICAL THERAPY, INC

MEDICARE: VARGO PHYSICAL THERAPY, 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
1225100000XPhysical Therapist

General Provider Information

NPI Number : 1104316827
Entity Type Code : Organization
Provider Name (Legal Business Name) : VARGO PHYSICAL THERAPY, INC
Provider Business Mailing Address
First Line : 25115 AVENUE STANFORD # B215
Second Line :
City : VALENCIA
State : CA
Zip : 91355-1290
Country : US
Telephone Number : 661-250-9940
Fax Number : 661-250-9959
Provider Business Practice Location Address
First Line : 3425 W VICTORY BLVD
Second Line :
City : BURBANK
State : CA
Zip : 91505-1545
Country : US
Telephone Number : 818-955-8855
Fax Number : 818-955-8833
Authorized Official
Title or Position : OFFICE ADMINISTRATOR
Name : BRANDON BENNETT
Credential :
Telephone Number : 661-250-9940
Provider Enumeration Date : 05/17/2018
Last Update Date : 04/15/2026

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Directions to “VARGO PHYSICAL THERAPY, INC ” Practice Location

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