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Organization
EUGENE A. SHALES PHYSICAL THERAPY INC.
Active
Organization
EUGENE A. SHALES PHYSICAL THERAPY INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JOHN MAHFET PHYSICAL THERAPIST (VICE PRESIDENT)
(310) 474-8111
Entity
Organization
Contact information
Practice address
10817 SANTA MONICA BLVD, #300, LOS ANGELES, CA 90025-4655
(310) 474-8111
(310) 474-3237
Mailing address
10817 SANTA MONICA BLVD, #300, LOS ANGELES, CA 90025-4655
(310) 474-8111
(310) 474-3237
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
7354
CA
Other
Enumeration date
11/15/2006
Last updated
08/22/2020
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