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Organization
RIVIERA SPORTS PHYSICAL THERAPY INC
Active
Organization
RIVIERA SPORTS PHYSICAL THERAPY INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
FRANK CROASDALE PT,DPT (OWNER/PHYSICAL THERAPIST)
(310) 316-3577
Entity
Organization
Contact information
Practice address
1204 S PACIFIC COAST HWY, REDONDO BEACH, CA 90277-4904
(310) 316-3577
(310) 316-3578
Mailing address
318 AVENUE I # 389, REDONDO BEACH, CA 90277-5601
(310) 316-3577
(310) 316-3578
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT17407
CA
Other
Enumeration date
03/13/2007
Last updated
12/11/2019
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