Provider Demographics
NPI:1689475246
Name:CARDOSO FERREIRA, ISABEL GRACE (PT DPT)
Entity type:Individual
Prefix:
First Name:ISABEL
Middle Name:GRACE
Last Name:CARDOSO FERREIRA
Suffix:
Gender:
Credentials:PT DPT
Other - Prefix:
Other - First Name:ISABEL
Other - Middle Name:GRACE
Other - Last Name:BURROWS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PT DPT
Mailing Address - Street 1:2415 32ND ST
Mailing Address - Street 2:
Mailing Address - City:SANTA MONICA
Mailing Address - State:CA
Mailing Address - Zip Code:90405-2029
Mailing Address - Country:US
Mailing Address - Phone:619-446-9749
Mailing Address - Fax:
Practice Address - Street 1:2070 CENTURY PARK E
Practice Address - Street 2:
Practice Address - City:LOS ANGELES
Practice Address - State:CA
Practice Address - Zip Code:90067-1907
Practice Address - Country:US
Practice Address - Phone:424-522-7100
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-03-20
Last Update Date:2025-03-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA391172251N0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2251N0400XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistNeurology