Doctor Name: | ISAAC TAKEUCHI WANLASS |
NPI Number: | 1710282421 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | PT, DPT |
License Number: | 37269 |
Business Practice Address: | 15477 Ventura Blvd 200 Sherman Oaks, CA - 914033006 |
Business Phone Number: | 3105398800 |
Business Fax Number: | 8189862146 |
Mailing Address: | 3244 Sepulveda Blvd, TORRANCE |
State: | CA |
Postal Code: | 905052719 |
Phone Number: | 3105398800 |
Fax Number: | 3106985410 |
NPI Enumeration Date: | 01/12/2011 |
NPI Last Update Date: | 08/29/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | 37269 |
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 |