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Organization
FUSION AQUATIC PHYSICAL THERAPY INC
Active
Organization
FUSION AQUATIC PHYSICAL THERAPY INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JAMIE M BADEN PALLISTER (CEO)
(818) 783-3296
Entity
Organization
Contact information
Practice address
6901 LENNOX AVE, VAN NUYS, CA 91405-4002
(310) 230-7400
(310) 230-7440
Mailing address
PO BOX 5018, WEST HILLS, CA 91308-5018
(310) 230-7400
(310) 230-7440
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Enumeration date
05/08/2012
Last updated
05/30/2012
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