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Organization
OPTIMAL PERFORMANCE PHYSICAL THERAPY, PC
Active
Organization
OPTIMAL PERFORMANCE PHYSICAL THERAPY, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PARHAM TABLOEI (PRESIDENT)
(626) 371-3133
Entity
Organization
Contact information
Practice address
3435 OCEAN PARK BLVD, #101, SANTA MONICA, CA 90405-3301
(310) 399-0337
Mailing address
7367 HOLLYWOOD BLVD APT 302, LOS ANGELES, CA 90046-2931
(626) 371-3133
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
39864
CA
Other
Enumeration date
08/26/2015
Last updated
08/26/2015
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