MEDICARE: ALLYSON CABOT P.T

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	18517	CA

General Provider Information

NPI Number	:	1548291560
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ALLYSON CABOT P.T

Provider Business Mailing Address
First Line	:	12930 VENTURA BLVD
Second Line	:	SUITE 226A
City	:	STUDIO CITY
State	:	CA
Zip	:	91604-2200
Country	:	US
Telephone Number	:	818-907-0008
Fax Number	:	818-907-0088

Provider Business Practice Location Address
First Line	:	12930 VENTURA BLVD
Second Line	:	SUITE 226A
City	:	STUDIO CITY
State	:	CA
Zip	:	91604-2200
Country	:	US
Telephone Number	:	818-907-0008
Fax Number	:	818-907-0088

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/06/2006
Last Update Date	:	07/08/2007

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Directions to “ ALLYSON CABOT P.T” Practice Location

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