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Organization
ELDERBERRY HEALTHCARE AND PHYSICAL THERAPY INC.
Active
Organization
ELDERBERRY HEALTHCARE AND PHYSICAL THERAPY INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TARA REINHARDT DPT (CEO)
(310) 994-1182
Entity
Organization
Contact information
Practice address
417 OCEAN AVE APT 2, SEAL BEACH, CA 90740-6050
(310) 994-1182
Mailing address
417 OCEAN AVE APT 2, SEAL BEACH, CA 90740-6050
(310) 994-1182
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
225X00000X
Occupational Therapist
—
—
235Z00000X
Speech-Language Pathologist
—
—
Other
Enumeration date
11/02/2020
Last updated
11/02/2020
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