Whalio Doctors

NPI 1063657419

Kevin Isaacs, MSCPTCSCS

Practitioner Kinesiotherapist Northridge, CA

Practice location

Address
9150 Reseda Blvd, Northridge, CA 91324
Phone
(310) 801-4129
Fax
(310) 966-1175
Mailing address
10933 Rochester Ave Suite #216, Los Angeles, CA 90024

Registered specialties (2)

Kinesiotherapist Primary
Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 226300000X Licence 97-07-11-003 (CA)
Neurorehabilitation Occupational Therapist
Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 225XN1300X Licence 97-07-11-003 (CA)

Registry record

NPI
1063657419
Entity type
Individual
Sex (as registered)
Male
NPI issued
12 Dec 2008
Record last updated
12 Dec 2008

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.