Provider Demographics
NPI:1649244070
Name:REMENAP, JODI ELIZABETH (PT)
Entity Type:Individual
Prefix:
First Name:JODI
Middle Name:ELIZABETH
Last Name:REMENAP
Suffix:
Gender:F
Credentials:PT
Other - Prefix:
Other - First Name:JODI
Other - Middle Name:ELIZABETH
Other - Last Name:REMENAP-BATTLES
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:114 NORTH FLORES ST
Mailing Address - Street 2:
Mailing Address - City:LOS ANGELES
Mailing Address - State:CA
Mailing Address - Zip Code:90048
Mailing Address - Country:US
Mailing Address - Phone:310-801-5554
Mailing Address - Fax:
Practice Address - Street 1:12660 RIVERSIDE DRIVE
Practice Address - Street 2:#215
Practice Address - City:VALLEY VILLAGE
Practice Address - State:CA
Practice Address - Zip Code:91607
Practice Address - Country:US
Practice Address - Phone:818-506-7821
Practice Address - Fax:818-506-6722
Is Sole Proprietor?:No
Enumeration Date:2006-02-14
Last Update Date:2014-11-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAPT27713225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist