# AIRPORT MARINA PHYSICAL THERAPY INC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Airport Marina Physical Therapy
- **Organization subpart:** No

## Provider details

- **NPI number:** 1588389001
- **Authorized official:** CHARLES GYDEN PHYSICAL THERAPIST (OWNER/DIRECTOR)
- **Authorized official phone:** (310) 419-7600

## Contact information

- **Practice address:** 426 W MANCHESTER BLVD, INGLEWOOD, CA 90301-1110
- **Practice address phone:** (310) 419-7600
- **Mailing address:** 426 W MANCHESTER BLVD, INGLEWOOD, CA 90301-1110
- **Mailing address phone:** (310) 419-6007
- **Mailing address fax:** (310) 419-7667

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 225100000X | Physical Therapist | — | NULL | Yes |
| 225100000X | Physical Therapist | — | — | Yes |

## Other

- **Enumeration date:** 10/06/2022
- **Last updated:** 10/06/2022