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Organization
PT AND RESTORATIVE WELLNESS
Active
Organization
PT AND RESTORATIVE WELLNESS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
EILEEN RICHARDS PT, DPT (MANAGING PHYSICAL THERAPIST)
(310) 734-7181
Entity
Organization
Contact information
Practice address
8635 W 3RD ST STE 1180, LOS ANGELES, CA 90048-6114
(310) 734-7181
(310) 460-0099
Mailing address
8635 W 3RD ST STE 1180, LOS ANGELES, CA 90048-6114
(310) 734-7181
(310) 460-0099
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1306425822
PERSONAL NPI
—
Enumeration date
01/31/2023
Last updated
03/28/2023
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