MEDICARE: RA PHYSICAL THERAPY AND REHABILITATION 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	225100000X	Physical Therapist

General Provider Information

NPI Number	:	1326063066
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	RA PHYSICAL THERAPY AND REHABILITATION INC

Provider Business Mailing Address
First Line	:	910 1/2 S ROBERTSON BLVD
Second Line	:
City	:	LOS ANGELES
State	:	CA
Zip	:	90035-1602
Country	:	US
Telephone Number	:	310-657-7220
Fax Number	:

Provider Business Practice Location Address
First Line	:	910 1/2 S ROBERTSON BLVD
Second Line	:
City	:	LOS ANGELES
State	:	CA
Zip	:	90035-1602
Country	:	US
Telephone Number	:	310-657-7220
Fax Number	:

Authorized Official
Title or Position	:	PRESIDENT
Name	:	ALEEM DINANI
Credential	:	MPT
Telephone Number	:	310-657-7220

Provider Enumeration Date	:	07/13/2006
Last Update Date	:	10/22/2012

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