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Organization
PACIFIC WELLCARE PHYSICAL THERAPY
Active
Organization
PACIFIC WELLCARE PHYSICAL THERAPY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. ANNA VASINA (ADMINISTRATOR)
(323) 983-1033
Entity
Organization
Contact information
Practice address
2222 SANTA MONICA BLVD, SUITE 404, SANTA MONICA, CA 90404-2304
(323) 983-1033
(323) 932-8733
Mailing address
2222 SANTA MONICA BLVD, SUITE 404, SANTA MONICA, CA 90404-2304
(323) 983-1033
(323) 932-8733
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Enumeration date
11/10/2009
Last updated
11/10/2009
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