Provider Demographics
NPI:1205167244
Name:DOLAINNA PHYSICAL THERAPY CENTER INC
Entity type:Organization
Organization Name:DOLAINNA PHYSICAL THERAPY CENTER INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:SVETLANA
Authorized Official - Middle Name:
Authorized Official - Last Name:ESTEPANYAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:1818-763-3636
Mailing Address - Street 1:3760 CAHUENGA BLVD
Mailing Address - Street 2:UNIT 204
Mailing Address - City:STUDIO CITY
Mailing Address - State:CA
Mailing Address - Zip Code:91604-3578
Mailing Address - Country:US
Mailing Address - Phone:181-876-3363
Mailing Address - Fax:
Practice Address - Street 1:3760 CAHUENGA BLVD
Practice Address - Street 2:UNIT 204
Practice Address - City:STUDIO CITY
Practice Address - State:CA
Practice Address - Zip Code:91604-3578
Practice Address - Country:US
Practice Address - Phone:181-876-3363
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-01-14
Last Update Date:2010-01-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2000XAmbulatory Health Care FacilitiesClinic/CenterPhysical Therapy