Doctor Name: | ROSSANA AVILA |
NPI Number: | 1689970931 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | DPT |
License Number: | PT 37451 |
Business Practice Address: | 12526 Riverside Drive Valley Village, CA - 91607 |
Business Phone Number: | 8189852559 |
Business Fax Number: | 8189854459 |
Mailing Address: | 11915 Burbank Blvd Apt 35, VALLEY VILLAGE |
State: | CA |
Postal Code: | 916071877 |
Phone Number: | 6504550605 |
Fax Number: | |
NPI Enumeration Date: | 02/03/2011 |
NPI Last Update Date: | 10/28/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | PT 37451 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | CA |
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 |