Provider Demographics
NPI:1316651763
Name:ROSS & GAUTMAN THERAPY SERVICES LLC
Entity type:Organization
Organization Name:ROSS & GAUTMAN THERAPY SERVICES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:SAVANAH
Authorized Official - Middle Name:
Authorized Official - Last Name:ROSS
Authorized Official - Suffix:
Authorized Official - Credentials:PTA
Authorized Official - Phone:626-644-6336
Mailing Address - Street 1:2580 GANAHL ST
Mailing Address - Street 2:
Mailing Address - City:LOS ANGELES
Mailing Address - State:CA
Mailing Address - Zip Code:90033-2015
Mailing Address - Country:US
Mailing Address - Phone:626-644-6336
Mailing Address - Fax:323-366-4260
Practice Address - Street 1:2580 GANAHL ST
Practice Address - Street 2:
Practice Address - City:LOS ANGELES
Practice Address - State:CA
Practice Address - Zip Code:90033-2015
Practice Address - Country:US
Practice Address - Phone:646-644-4260
Practice Address - Fax:323-366-4260
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-01-10
Last Update Date:2024-02-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health