Provider Demographics
NPI:1346273042
Name:TOUCH OF LIFE PHYSICAL THERAPY, INC.
Entity Type:Organization
Organization Name:TOUCH OF LIFE PHYSICAL THERAPY, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/PHYSICAL THERAPIST
Authorized Official - Prefix:
Authorized Official - First Name:NEIL
Authorized Official - Middle Name:SCOTT
Authorized Official - Last Name:DREBEN
Authorized Official - Suffix:
Authorized Official - Credentials:MPT
Authorized Official - Phone:818-887-7667
Mailing Address - Street 1:23101 SHERMAN PL STE 150
Mailing Address - Street 2:
Mailing Address - City:WEST HILLS
Mailing Address - State:CA
Mailing Address - Zip Code:91307-2005
Mailing Address - Country:US
Mailing Address - Phone:818-887-7667
Mailing Address - Fax:818-887-7677
Practice Address - Street 1:23101 SHERMAN PL STE 150
Practice Address - Street 2:
Practice Address - City:WEST HILLS
Practice Address - State:CA
Practice Address - Zip Code:91307-2005
Practice Address - Country:US
Practice Address - Phone:818-887-7667
Practice Address - Fax:818-887-7677
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-08
Last Update Date:2022-03-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAPT247202251X0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2251X0800XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistOrthopedicGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAW19324Medicare ID - Type UnspecifiedPROVIDER ID NUMBER