Provider Demographics
NPI:1497237630
Name:FLEX PHYSICAL THERAPY INC
Entity Type:Organization
Organization Name:FLEX PHYSICAL THERAPY INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:DR
Authorized Official - First Name:SHUSHAN
Authorized Official - Middle Name:
Authorized Official - Last Name:YEGHIKYAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:747-477-3464
Mailing Address - Street 1:450 N BRAND BLVD STE 600
Mailing Address - Street 2:
Mailing Address - City:GLENDALE
Mailing Address - State:CA
Mailing Address - Zip Code:91203-2349
Mailing Address - Country:US
Mailing Address - Phone:747-477-3464
Mailing Address - Fax:747-477-3463
Practice Address - Street 1:450 N BRAND BLVD STE 600
Practice Address - Street 2:
Practice Address - City:GLENDALE
Practice Address - State:CA
Practice Address - Zip Code:91203-2349
Practice Address - Country:US
Practice Address - Phone:747-477-3464
Practice Address - Fax:747-477-3463
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-09-04
Last Update Date:2018-09-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Multi-Specialty