DIVINE HEALTH PROVIDER PHYSICAL THERAPY INC
Physical Therapy at Erringer Rd, Simi Valley, CA

License number
California PT24912
Category
Ambulatory Health
Type
Physical Therapy
Owner
Name: MR. JONAH TAN MPT, PA-C
Title: DIRECTOR
Phone: (805) 581-4266
Address
Address
1687 Erringer Rd STE 109, Simi Valley, CA 93065
National Provider ID: 1386899763
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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DIVINE HEALTH PROVIDER PHYSICAL THERAPY, INC

Simi Valley, CA

Industry:
Health Practitioner's Office
Registration:
Nov 20, 2008
Addresses:
1687 Erringer Rd SUITE 109, Simi Valley, CA 93065 (Physical)
3200 E Los Angeles Ave, Simi Valley, CA 93065
300 E Los Angels Ave, Simi Valley, CA 93065
300 W Los Angeles Ave, Simi Valley, CA 93065
State ID:
C3135351
Business type:
Articles of Incorporation
President, Director, Principal:
Jonah Tan (President, Director, Principal)

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