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Organization
PROSPORT PHYSICAL THERAPY PROFESSIONALS INC
Active
Organization
PROSPORT PHYSICAL THERAPY PROFESSIONALS INC
Active
Parent organization
PALOS VERDES REHABILITATION CLINIC INC
Other names
ProSport Physical Therapy Palos Verdes, Palos Verdes Rehabilitation Clinic Inc, Palos Verdes Physical Therapy
Organization subpart
Yes
Provider details
NPI number
Legal business name
PALOS VERDES REHABILITATION CLINIC INC
Authorized official
BOBBY ISMAIL (PRESIDENT)
(209) 353-1988
Entity
Organization
Contact information
Practice address
28924 S WESTERN AVE, SUITE 101, RANCHO PALOS VERDES, CA 90275-0885
(310) 548-0104
(310) 548-0559
Mailing address
PO BOX 14155, ORANGE, CA 92863-1555
(714) 450-4999
(714) 974-0055
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Enumeration date
09/07/2005
Last updated
12/06/2023
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