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Organization
MADE IN LA PT INC
Active
Organization
MADE IN LA PT INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANDREA LAWENT (MANAGING PARTNER)
(323) 499-1990
Entity
Organization
Contact information
Practice address
6741 HOLLYWOOD BLVD, LOS ANGELES, CA 90028-4604
(323) 461-1990
(323) 461-1995
Mailing address
6741 HOLLYWOOD BLVD, LOS ANGELES, CA 90028-4604
(323) 461-1990
(323) 461-1995
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
—
—
225100000X
Physical Therapist
Primary
—
—
Other
Enumeration date
02/20/2008
Last updated
02/20/2008
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