| Organization Name: | JBP PHYSICAL THERAPY CORPORATION |
| NPI Number: | 1043572217 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | JAINA BHAGAT PATEL (PHYSICAL THERAPIST) |
| Mailing Address: | 9545 Reseda Blvd Unit 3,4 Northridge |
| State: | CA US |
| Postal Code: | 913242312 |
| Phone Number: | 4152386470 |
| Fax Number: | |
| NPI Enumeration Date: | 06/13/2012 |
| NPI Last Update Date: | 08/20/2012 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QP2000X |
| License Number: | PT36869 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | CA |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Physical Therapy |
| Taxonomy Definition: | |