Provider Demographics
NPI:1093180200
Name:ABRAHAMIANS PHYSICAL THERAPY GROUP INC
Entity type:Organization
Organization Name:ABRAHAMIANS PHYSICAL THERAPY GROUP INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MRS
Authorized Official - First Name:MELINE
Authorized Official - Middle Name:K
Authorized Official - Last Name:ABRAHAMIANS
Authorized Official - Suffix:
Authorized Official - Credentials:DPT
Authorized Official - Phone:310-854-9314
Mailing Address - Street 1:PO BOX 5346
Mailing Address - Street 2:
Mailing Address - City:GLENDALE
Mailing Address - State:CA
Mailing Address - Zip Code:91221-5346
Mailing Address - Country:US
Mailing Address - Phone:310-854-9314
Mailing Address - Fax:
Practice Address - Street 1:1325 VALLEY VIEW RD APT 106
Practice Address - Street 2:
Practice Address - City:GLENDALE
Practice Address - State:CA
Practice Address - Zip Code:91202-1703
Practice Address - Country:US
Practice Address - Phone:310-854-9314
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-12-14
Last Update Date:2015-12-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Single Specialty