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Organization
WEST COAST SPORTS PHYSICAL THERAPY, INC.
Active
Organization
WEST COAST SPORTS PHYSICAL THERAPY, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. RODNEY BUCHANAN PT (OWNER)
(310) 416-9777
Entity
Organization
Contact information
Practice address
1137 2ND ST STE 103, SANTA MONICA, CA 90403-5069
(310) 477-0018
(310) 954-9422
Mailing address
1137 2ND ST STE 103, SANTA MONICA, CA 90403-5069
(310) 477-0018
(103) 954-9742
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
PT 15886
CA
Other
Enumeration date
11/02/2007
Last updated
06/30/2020
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