Shane Vidal
Shane Vidal is a Physical Therapy Assistant in Northridge, California. Practices as a sole proprietor. Licensed in California.
- Licensed in
- CA
- In the registry since
- 2025
Practice location Address checks out
11260 Wilbur Ave Ste 101Northridge, CA 91326-2450
Phone: (818) 832-5656
Fax: (818) 838-5245
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Physical Therapy Assistant (primary) | Taxonomy 225200000X · Licence 53866 (CA) |
|---|
Record details
| NPI number | 1831903905 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | Yes |
| NPI enumerated | February 6, 2025 |
| Last updated in NPPES | February 6, 2025 |
| Certification date | February 6, 2025 |
| Mailing address | 22003 Liggett St, Chatsworth, CA 91311-5721 |
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Jenna Lynn Perea, PT
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Brent Blanco Santos
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Scott Witter
11260 Wilbur Ave Ste 101, Northridge, CA 91326-2450 · (818) 832-5656
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Lizette Wood, PTA
11225 Tampa Ave, Northridge, CA 91326-1610 · (818) 363-9970