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Organization
INTEGRATED WELLNESS GROUP
Active
Organization
INTEGRATED WELLNESS GROUP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SEAN SHAW (ADMINISTRATOR)
(818) 788-2050
Entity
Organization
Contact information
Practice address
16055 VENTURA BLVD, 440, ENCINO, CA 91436-2601
(818) 788-2050
(818) 788-2058
Mailing address
16055 VENTURA BLVD, 440, ENCINO, CA 91436-2601
(818) 788-2050
(818) 788-2058
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT30229
CA
Other
Enumeration date
05/13/2014
Last updated
05/13/2014
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