| Organization Name: | COSGROVE F.A.S.T. SYSTEMS INC. |
| NPI Number: | 1255637245 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | AMY LYNNE WUNSCH (DIRECTOR: PHYSICAL THERAPY SERVICES) |
| Mailing Address: | 24420 Walnut St # 8232 Newhall |
| State: | CA US |
| Postal Code: | 913212822 |
| Phone Number: | 6617997900 |
| Fax Number: | 6617997371 |
| NPI Enumeration Date: | 02/08/2011 |
| NPI Last Update Date: | 02/08/2011 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QP2000X |
| License Number: | 29208 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | CA |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Physical Therapy |
| Taxonomy Definition: | |