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Organization

MAVIS RODE PHYSICAL THERAPY, INC

Active
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Organization

MAVIS RODE PHYSICAL THERAPY, INC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MAVIS RODE DPT (PRESIDENT)
(310) 397-2740
Entity
Organization

Contact information

Practice address
12425 BROOKLAKE ST, LOS ANGELES, CA 90066-1807
(310) 397-2740
(310) 397-2740
Mailing address
12425 BROOKLAKE ST, LOS ANGELES, CA 90066-1807
(310) 397-2740
(310) 397-2740

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT15928
CA

Other

Enumeration date
08/21/2013
Last updated
08/21/2013
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