# CENTURY CITY PHYSICAL THERAPY, INC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1053318337
- **Authorized official:** SUSAN BASS R.P.T. (OWNER)
- **Authorized official phone:** (310) 553-2519

## Contact information

- **Practice address:** 2080 CENTURY PARK E, SUITE 410, LOS ANGELES, CA 90067-2001
- **Practice address phone:** (310) 553-2519
- **Practice address fax:** (310) 553-5842
- **Mailing address:** 2080 CENTURY PARK E, SUITE 410, LOS ANGELES, CA 90067-2001
- **Mailing address phone:** (310) 553-2519
- **Mailing address fax:** (310) 553-5842

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208100000X | Physical Medicine & Rehabilitation Physician | W14533 | CA | Yes |

## Other

- **Enumeration date:** 07/01/2005
- **Last updated:** 06/23/2014