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Organization
SPLASH PHYSICAL THERAPY INC
Active
Organization
SPLASH PHYSICAL THERAPY INC
Active
Other names
WATER PHYSICAL THERAPY SPECIALISTS INC
Organization subpart
No
Provider details
NPI number
Authorized official
NANCY LYNN HAWKINS MPT (OWNER)
(310) 407-5440
Entity
Organization
Contact information
Practice address
8015 S SEPULVEDA BLVD, WESTCHESTER, CA 90045-2940
(310) 407-5440
(310) 407-5441
Mailing address
PO BOX 728, TOPANGA, CA 90290-0728
(310) 407-5440
(310) 407-5441
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT25373
CA
2251S0007X
Sports Physical Therapist
PT25373
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PT25373
CALIFORNIA LICENCE
CA
Enumeration date
06/25/2009
Last updated
06/25/2009
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