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Organization
SOUTH BAY SPORTS MEDICINE PHYSICAL THERAPY INC.
Active
Organization
SOUTH BAY SPORTS MEDICINE PHYSICAL THERAPY INC.
Active
Other names
Denmond Corporation
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL N FISCHVOGT P.T. (CORPORATION PRESIDENT/OWNER)
(310) 543-4655
Entity
Organization
Contact information
Practice address
3878 WEST CARSON STREET, SUITE 100, TORRANCE, CA 90503
(310) 543-4655
(310) 543-1743
Mailing address
3878 WEST CARSON STREET, SUITE 100, TORRANCE, CA 90503
(310) 543-4655
(310) 543-1743
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT 12037
CA
Other
Enumeration date
10/04/2006
Last updated
08/22/2020
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