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Organization
INSIGHT PHYSICAL THERAPY
Active
Organization
INSIGHT PHYSICAL THERAPY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DEREK ANTHONY PLONKA DPT (PHYSICAL THERAPIST)
(310) 453-8668
Entity
Organization
Contact information
Practice address
1811 WILSHIRE BLVD, SUITE 110, SANTA MONICA, CA 90403-5651
(310) 453-8668
(310) 453-8662
Mailing address
1811 WILSHIRE BLVD, SUITE 110, SANTA MONICA, CA 90403-5651
(310) 453-8668
(310) 453-8662
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
142012
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1356367874
NPI
CA
Enumeration date
01/06/2010
Last updated
01/06/2010
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