Provider Demographics
NPI:1710384904
Name:DAVE AND DAVE REHAB SCIENCES, LP
Entity Type:Organization
Organization Name:DAVE AND DAVE REHAB SCIENCES, LP
Other - Org Name:HANDS PLUS PHYSICAL THERAPY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:MR
Authorized Official - First Name:DAVID
Authorized Official - Middle Name:BRIAN
Authorized Official - Last Name:GIRARD
Authorized Official - Suffix:
Authorized Official - Credentials:PT
Authorized Official - Phone:661-200-3677
Mailing Address - Street 1:22913 1/2 SOLEDAD CANYON RD
Mailing Address - Street 2:
Mailing Address - City:SANTA CLARITA
Mailing Address - State:CA
Mailing Address - Zip Code:91350-2997
Mailing Address - Country:US
Mailing Address - Phone:661-200-3677
Mailing Address - Fax:
Practice Address - Street 1:22913 1/2 SOLEDAD CANYON RD
Practice Address - Street 2:
Practice Address - City:SANTA CLARITA
Practice Address - State:CA
Practice Address - Zip Code:91350-2997
Practice Address - Country:US
Practice Address - Phone:661-200-3677
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:DAVE AND DAVE REHAB SCIENCES
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2014-12-03
Last Update Date:2015-07-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA151572251X0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2251X0800XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistOrthopedicGroup - Multi-Specialty