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Organization
MARINA SPORTS PHYSICAL THERAPY P C
Active
Organization
MARINA SPORTS PHYSICAL THERAPY P C
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NICOLE C VITTORIO PT (PRESIDENT)
(310) 526-8599
Entity
Organization
Contact information
Practice address
28382 S WESTERN AVE, RANCHO PALOS VERDES, CA 90275-1434
(310) 526-8599
Mailing address
28633 S WESTERN AVE STE 200, RANCHO PALOS VERDES, CA 90275-0817
(310) 832-2622
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Enumeration date
06/18/2018
Last updated
07/23/2024
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