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Organization
PASADENA PHYSICAL THERAPY, PC
Active
Organization
PASADENA PHYSICAL THERAPY, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LOCATELLI RAO DPT (OWNER)
(626) 304-0565
Entity
Organization
Contact information
Practice address
95 W CALIFORNIA BLVD, PASADENA, CA 91105-3026
(626) 304-0565
(626) 304-0528
Mailing address
95 W CALIFORNIA BLVD, PASADENA, CA 91105-3026
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PT27694
LICENSE
CA
Enumeration date
02/10/2014
Last updated
02/10/2014
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