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Organization
MB PHYSICAL THERAPY PC
Active
Organization
MB PHYSICAL THERAPY PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MATT SKALAK DPT (PRESIDENT)
(949) 330-3832
Entity
Organization
Contact information
Practice address
2010 WILSHIRE BLVD STE 809, LOS ANGELES, CA 90057-3594
(213) 252-1985
Mailing address
32061 CAMINO DEL CIELO, TRABUCO CANYON, CA 92679-3440
(949) 330-3832
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT36431
CA
Other
Enumeration date
01/03/2014
Last updated
01/03/2014
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