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Organization
PITACLE FAIRY INCORPORATED
Active
Organization
PITACLE FAIRY INCORPORATED
Active
Other names
Free Motion Pilates & Therapeutics
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JOHN J MANDEL (PRESIDENT)
(805) 306-1840
Entity
Organization
Contact information
Practice address
1115 E LOS ANGELES AVE, SIMI VALLEY, CA 93065-2801
(806) 306-1840
(805) 306-1839
Mailing address
1115 E. LOS ANGELES AVENUE, SIMI VALLEY, CA 93065
(806) 306-1840
(805) 306-1839
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Enumeration date
02/22/2008
Last updated
02/22/2008
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