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Organization
SHAFA PHYSICAL THERAPY, SPORT INJURY AND REHABILITATION CENTER, INC.
Active
Organization
SHAFA PHYSICAL THERAPY, SPORT INJURY AND REHABILITATION CENTER, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DORIS SHADROOZ (PT)
(310) 552-9575
Entity
Organization
Contact information
Practice address
11819 WILSHIRE BLVD, SUITE # 205, LOS ANGELES, CA 90025-6619
(310) 777-7594
Mailing address
PO BOX 6597, BEVERLY HILLS, CA 90212-6597
(310) 777-7594
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT 34634
CA
Other
Enumeration date
05/26/2010
Last updated
05/26/2010
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