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Organization
LADERA PHYSIOTHERAPY, INC
Active
Organization
LADERA PHYSIOTHERAPY, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. RONNIE DALE JOHNSON JR. PT (PT)
(310) 779-8901
Entity
Organization
Contact information
Practice address
401 E HILLCREST BLVD, INGLEWOOD, CA 90301-2430
(310) 779-8901
Mailing address
PO BOX 451972, LOS ANGELES, CA 90045-8525
(310) 779-8901
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT22486
CA
Other
Enumeration date
01/08/2007
Last updated
08/22/2020
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