# A PHYSICAL THERAPY ALTERNATIVE

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

## Provider details

- **NPI number:** 1063600658
- **Authorized official:** NOUSH MAKKI (OFFICE MANAGER)
- **Authorized official phone:** (310) 828-6584

## Contact information

- **Practice address:** 1450 CLOVERFIELD BLVD, SANTA MONICA, CA 90404-2943
- **Practice address phone:** (310) 828-6584
- **Practice address fax:** (310) 453-3373
- **Mailing address:** 1450 CLOVERFIELD BLVD, SANTA MONICA, CA 90404-2943
- **Mailing address phone:** (310) 828-6584
- **Mailing address fax:** (310) 453-3373

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 225100000X | Physical Therapist | PT15905 | CA | Yes |

## Other

- **Enumeration date:** 10/09/2007
- **Last updated:** 10/09/2007