Individual provider · Type 1 NPI

Jovani Liston

Rehabilitation Practitioner · Pasadena, CA

NPI number 1730721176 Active

Practice location

940 Avenue 64
Pasadena, CA 91105-2711

Fax (323) 978-1263

Specialties and licenses

TaxonomyCodeLicense
Rehabilitation Practitioner Primary 225400000XNone listed

Rehabilitation Practitioner: A health care practitioner who trains or retrains individuals disabled by disease or injury to help them attain their maximum functional capacity.

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About NPI 1730721176

Jovani Liston's National Provider Identifier is 1730721176, issued on Oct 16, 2019. The primary taxonomy on file is Rehabilitation Practitioner (225400000X), and the practice location is in Pasadena, CA. The record was last updated on Oct 16, 2019.