# GRATTO AQUATIC REHAB

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- **Entity:** Organization
- **Status:** Active
- **Other names:** same
- **Organization subpart:** No

## Provider details

- **NPI number:** 1578932950
- **Authorized official:** MR. MORRIS SHAPOW DPT, PHD (PRESIDENT / OWNER)
- **Authorized official phone:** (310) 492-9355

## Contact information

- **Practice address:** 13160 MINDANAO WAY STE. 308, MARINA DEL RAY, CA 90292
- **Practice address phone:** (310) 492-9355
- **Mailing address:** 13160 MINDANAO WAY STE. 308, MARINA DEL RAY, CA 90292

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 246Z00000X | Other Specialist/Technologist | — | NULL | Yes |
| 246Z00000X | Other Specialist/Technologist | — | — | Yes |
| 261QP2000X | Physical Therapy Clinic/Center | — | NULL | — |

## Other

- **Enumeration date:** 09/16/2015
- **Last updated:** 02/13/2019