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Organization
BODY DYNAMIX INTEGRATED SPORTS MEDICINE, INC
Active
Organization
BODY DYNAMIX INTEGRATED SPORTS MEDICINE, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ERIN DAIGLE (BILLING MANAGER)
(818) 706-9435
Entity
Organization
Contact information
Practice address
18344 OXNARD STREET, UNIT 104, TARZANA, CA 91356
(818) 783-4085
(818) 783-4065
Mailing address
18344 OXNARD STREET, UNIT 104, TARZANA, CA 91356
(818) 783-4085
(818) 783-4065
Taxonomy
Speciality
Code
Description
License number
State
111NR0400X
Rehabilitation Chiropractor
—
NULL
111NR0400X
Rehabilitation Chiropractor
—
—
208100000X
Physical Medicine & Rehabilitation Physician
Primary
—
CA
Other
Enumeration date
05/19/2015
Last updated
07/21/2022
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