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Organization
OPTIMAL PHYSICAL THERAPY INC
Active
Organization
OPTIMAL PHYSICAL THERAPY INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JULIE SHISHINO P.T. (CHIEF EXECUTIVE OFFICER)
(310) 649-5339
Entity
Organization
Contact information
Practice address
8540 S SEPULVEDA BLVD, STE 916, LOS ANGELES, CA 90045-3807
(310) 649-5339
(310) 649-5357
Mailing address
8540 S SEPULVEDA BLVD, STE 916, LOS ANGELES, CA 90045-3807
(310) 649-5339
(310) 649-5357
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Enumeration date
09/30/2013
Last updated
09/30/2013
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