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Organization
REPLENISH PHYSICAL THERAPY & DANCE PERFORMANCE PC
Active
Organization
REPLENISH PHYSICAL THERAPY & DANCE PERFORMANCE PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
HILARY PAIGE GEREAUX VAN DIXHORN PT, DPT (PRESIDENT)
(310) 922-3526
Entity
Organization
Contact information
Practice address
25830 OAK ST UNIT 7, LOMITA, CA 90717-3121
(310) 922-3526
Mailing address
2017 LOMITA BLVD # 512, LOMITA, CA 90717-1701
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Enumeration date
03/14/2024
Last updated
03/14/2024
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