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Organization
DECONSTRUCT HEALTH PHYSICAL THERAPY & CONSULTING PC
Active
Organization
DECONSTRUCT HEALTH PHYSICAL THERAPY & CONSULTING PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MICHAEL ZABALA AQUINO PT, DPT (CEO)
(310) 508-5648
Entity
Organization
Contact information
Practice address
3939 ATLANTIC AVE STE 102, LONG BEACH, CA 90807-3535
(310) 893-5786
Mailing address
1145 E JAY ST, CARSON, CA 90745-3540
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
2251E1200X
Ergonomics Physical Therapist
—
—
2251N0400X
Neurology Physical Therapist
—
—
Other
Enumeration date
07/08/2019
Last updated
07/08/2019
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