| Organization Name: | PACIFIC SPORTS HEALTH MANAGEMENT, INC. |
| NPI Number: | 1093755894 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | HOWARD RAPPAPORT (PRESIDENT AND CEO) |
| Mailing Address: | 4111 W Alameda Ave Suite 110 Burbank |
| State: | CA US |
| Postal Code: | 915054161 |
| Phone Number: | 8183331690 |
| Fax Number: | 8183331697 |
| NPI Enumeration Date: | 06/08/2006 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | 06/22/2006 |
| NPI Reactivation Date: | 06/22/2006 |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 225100000X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | |
| Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Taxonomy Classification: | Physical Therapist |
| Taxonomy Specialization: | |
| Taxonomy Definition: | (1) Physical therapists are health care professionals who evaluate and treat people with health problems resulting from injury or disease. PT |