Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Our Lady of Providence PT Clinic

Organization Physical Therapist · NPI 1528289667

Our Lady of Providence PT Clinic is a Physical Therapist in North Hollywood, California. Licensed in California. Registered with an NPI since 2007.

Licensed in
CA
In the registry since
2007

Practice location Address checks out

10843 Magnolia Blvd Ste 2
North Hollywood, CA 91601
Phone: (818) 506-4119
Fax: (818) 506-8115
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence PT 18580 (CA)

Record details

NPI number1528289667
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Marcelle Deaibes — Registered Physical Therapist · (818) 506-4119
NPI enumeratedMay 2, 2007
Last updated in NPPESAugust 22, 2020
Mailing address10843 Magnolia Blvd, Suite 2, North Hollywood, CA 91601

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