MEDICARE: DR. PAULA LYNN GELBART SAUER DPT

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	PT34329	CA

General Provider Information

NPI Number	:	1619151529
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. PAULA LYNN GELBART SAUER DPT

Provider Business Mailing Address
First Line	:	562 N LARCHMONT BLVD
Second Line	:
City	:	LOS ANGELES
State	:	CA
Zip	:	90004-1306
Country	:	US
Telephone Number	:	213-446-8658
Fax Number	:

Provider Business Practice Location Address
First Line	:	562 N LARCHMONT BLVD
Second Line	:
City	:	LOS ANGELES
State	:	CA
Zip	:	90004-1306
Country	:	US
Telephone Number	:	213-446-8658
Fax Number	:

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

Provider Enumeration Date	:	12/27/2007
Last Update Date	:	11/02/2017

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