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Organization
EVOLUTION PHYSICAL THERAPY, INC
Active
Organization
EVOLUTION PHYSICAL THERAPY, INC
Active
Other names
Bebe PT
Organization subpart
No
Provider details
NPI number
Authorized official
DARWIN FOGT MPT (PRESIDENT)
(310) 305-7100
Entity
Organization
Contact information
Practice address
11901 SANTA MONICA BLVD, 202, LOS ANGELES, CA 90025-2767
(310) 479-2323
Mailing address
322 CULVER BLVD, 207, PLAYA DEL REY, CA 90293-7704
(310) 305-7100
(310) 305-7101
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Enumeration date
12/07/2007
Last updated
12/07/2007
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