Provider Demographics
NPI:1033259635
Name:CORTINA, DAVID M (PT, CSCS)
Entity Type:Individual
Prefix:MR
First Name:DAVID
Middle Name:M
Last Name:CORTINA
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Gender:M
Credentials:PT, CSCS
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Mailing Address - Street 1:8510 BALBOA BLVD
Mailing Address - Street 2:STE 150
Mailing Address - City:NORTHRIDGE
Mailing Address - State:CA
Mailing Address - Zip Code:91325-5810
Mailing Address - Country:US
Mailing Address - Phone:805-210-7270
Mailing Address - Fax:805-210-7271
Practice Address - Street 1:1901 OUTLET CENTER DR
Practice Address - Street 2:SUITE 110
Practice Address - City:OXNARD
Practice Address - State:CA
Practice Address - Zip Code:93036-0663
Practice Address - Country:US
Practice Address - Phone:805-981-9797
Practice Address - Fax:805-981-9742
Is Sole Proprietor?:No
Enumeration Date:2007-02-06
Last Update Date:2016-04-13
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Provider Licenses
StateLicense IDTaxonomies
CA26062225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist