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Organization
MAUM WELLNESS PHYSICAL THERAPY INC
Active
Organization
MAUM WELLNESS PHYSICAL THERAPY INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JUSTIN LEE DPT (CEO)
(845) 270-5771
Entity
Organization
Contact information
Practice address
1607 W REDONDO BEACH BLVD, GARDENA, CA 90247-3241
(714) 590-3211
(714) 590-3210
Mailing address
1607 W REDONDO BEACH BLVD, GARDENA, CA 90247-3241
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT 41176
CA
Other
Enumeration date
03/31/2014
Last updated
03/31/2014
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