Elena Absalon

Individual provider Active NPI Physical Therapist · Burbank, CA

NPI 1598213969 · NPPES record last updated Dec 21, 2016

Key facts

NPI
1598213969
Entity type
Individual (NPI type 1)
Primary specialty
Physical Therapist 225100000X
License
292056 (CA)
Practice address
201 S Buena Vista St
Suite 355
Burbank, CA 91505-4569
Phone
(818) 333-7590
Fax
(818) 954-0812
NPI assigned
Sep 14, 2016
Sex
Female
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
Yes

State licenses

LicenseStateTypeSpecialty
292056CAMDPhysical Therapist

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 292056 CA Yes

Addresses

Primary practice location

201 S Buena Vista St
Suite 355
Burbank, CA 91505-4569

Mailing address

19019 Ventura Blvd
Tarzana, CA 91356-3253
Phone (818) 501-8352

Other providers in Burbank, CA

All providers in Burbank, CA · Physical Therapist in California

Sources for this page

Verify at the official NPI Registry.