Provider Demographics
NPI:1326282542
Name:HEALING TOUCH PHYSICAL THERAPY & FITNESS
Entity Type:Organization
Organization Name:HEALING TOUCH PHYSICAL THERAPY & FITNESS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MS
Authorized Official - First Name:CAROL
Authorized Official - Middle Name:ANN
Authorized Official - Last Name:CARDENAS
Authorized Official - Suffix:
Authorized Official - Credentials:PT
Authorized Official - Phone:818-340-9303
Mailing Address - Street 1:7230 MEDICAL CTR. DR., #501
Mailing Address - Street 2:
Mailing Address - City:WEST HILLS
Mailing Address - State:CA
Mailing Address - Zip Code:91307
Mailing Address - Country:US
Mailing Address - Phone:818-340-9303
Mailing Address - Fax:818-340-4839
Practice Address - Street 1:7230 MEDICAL CENTER DR STE 501
Practice Address - Street 2:
Practice Address - City:WEST HILLS
Practice Address - State:CA
Practice Address - Zip Code:91307-4029
Practice Address - Country:US
Practice Address - Phone:818-340-9303
Practice Address - Fax:818-340-4839
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-05-01
Last Update Date:2009-05-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA0000831107-0001-9174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Single Specialty