Provider Demographics
NPI:1649320813
Name:THOMAS REED PHYSICAL THERAPY INC
Entity type:Organization
Organization Name:THOMAS REED PHYSICAL THERAPY INC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:MERLE
Authorized Official - Middle Name:THOMAS
Authorized Official - Last Name:REED
Authorized Official - Suffix:
Authorized Official - Credentials:DPT
Authorized Official - Phone:818-786-9012
Mailing Address - Street 1:22647 VENTURA BLVD # 358
Mailing Address - Street 2:
Mailing Address - City:WOODLAND HILLS
Mailing Address - State:CA
Mailing Address - Zip Code:91364-1416
Mailing Address - Country:US
Mailing Address - Phone:818-786-9012
Mailing Address - Fax:818-786-5729
Practice Address - Street 1:7232 VAN NUYS BLVD STE 203
Practice Address - Street 2:
Practice Address - City:VAN NUYS
Practice Address - State:CA
Practice Address - Zip Code:91405-2231
Practice Address - Country:US
Practice Address - Phone:818-786-9012
Practice Address - Fax:818-786-5729
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-11
Last Update Date:2013-06-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2000XAmbulatory Health Care FacilitiesClinic/CenterPhysical Therapy