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Organization
MINDFUL AWARENESS PHYSICAL THERAPY INC.
Active
Organization
MINDFUL AWARENESS PHYSICAL THERAPY INC.
Active
Other names
Mindful Awareness Home Therapy Services
Organization subpart
No
Provider details
NPI number
Authorized official
MAUREEN MCCLURG DPT (CEO)
(310) 403-1583
Entity
Organization
Contact information
Practice address
441 25TH ST, HERMOSA BEACH, CA 90254-2620
(310) 403-1583
Mailing address
565 PIER AVE UNIT 1182, HERMOSA BEACH, CA 90254-8269
(213) 986-8230
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
—
—
225100000X
Physical Therapist
Primary
—
—
225200000X
Physical Therapy Assistant
—
—
225X00000X
Occupational Therapist
—
—
235Z00000X
Speech-Language Pathologist
—
—
Other
Enumeration date
01/14/2021
Last updated
01/14/2021
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