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Organization
EWELLNESS CORPORATION
Active
Organization
EWELLNESS CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DARWIN FOGT MPT (CEO)
(310) 915-6100
Entity
Organization
Contact information
Practice address
747 3RD AVE, NEW YORK, NY 10017-2803
(310) 915-6100
Mailing address
322 CULVER BLVD # 217, PLAYA DEL REY, CA 90293-7704
(310) 915-6100
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Enumeration date
07/03/2014
Last updated
07/03/2014
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