Provider Demographics
NPI:1598909236
Name:MAY, BRIAN C (PT)
Entity Type:Individual
Prefix:MR
First Name:BRIAN
Middle Name:C
Last Name:MAY
Suffix:
Gender:M
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10725 ZELZAH AVE
Mailing Address - Street 2:SUITE B
Mailing Address - City:GRANADA HILLS
Mailing Address - State:CA
Mailing Address - Zip Code:91344-4431
Mailing Address - Country:US
Mailing Address - Phone:818-832-8383
Mailing Address - Fax:818-832-0606
Practice Address - Street 1:10725 ZELZAH AVE
Practice Address - Street 2:SUITE B
Practice Address - City:GRANADA HILLS
Practice Address - State:CA
Practice Address - Zip Code:91344-4431
Practice Address - Country:US
Practice Address - Phone:818-832-8383
Practice Address - Fax:818-832-0606
Is Sole Proprietor?:No
Enumeration Date:2009-04-24
Last Update Date:2009-04-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAPT35421225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist