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Organization
MADE IN LA PT
Active
Organization
MADE IN LA PT
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANDREA ALAWENT (OWNER)
(232) 461-1990
Entity
Organization
Contact information
Practice address
1710 N MCCADDEN PL, LOS ANGELES, CA 90028-4603
(323) 461-1990
(323) 461-1995
Mailing address
PO BOX1202, LOS ANGELES, CA 90028-1202
(323) 461-1990
(323) 461-1995
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
32283
CA
Other
Enumeration date
08/14/2012
Last updated
08/14/2012
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