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Organization
EVOLUTION PHYSICAL THERAPY, INC
Active
Organization
EVOLUTION PHYSICAL THERAPY, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL GIUNTA DPT (OWNER/CEO)
(310) 915-6100
Entity
Organization
Contact information
Practice address
11825 MAJOR ST, PENTHOUSE SUITE, CULVER CITY, CA 90230-6356
(310) 915-6100
(310) 915-0100
Mailing address
322 CULVER BLVD, #217, PLAYA DEL REY, CA 90293-7704
(310) 915-6100
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
39128
CA
225100000X
Physical Therapist
Primary
PT26595
CA
225100000X
Physical Therapist
PT28561
CA
225100000X
Physical Therapist
PT30287
CA
225100000X
Physical Therapist
PT34146
CA
225100000X
Physical Therapist
PT35833
CA
225100000X
Physical Therapist
PT37632
CA
225100000X
Physical Therapist
PT37934
CA
Other
Enumeration date
11/01/2006
Last updated
10/10/2018
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