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Organization
OPTC WESTSIDE INC
Active
Organization
OPTC WESTSIDE INC
Active
Other names
Orthosport Physical Therapy
Organization subpart
No
Provider details
NPI number
Authorized official
CRISTINA CARMEN GABOR (PRESIDENT)
(310) 837-9700
Entity
Organization
Contact information
Practice address
3831 HUGHES AVE, STE 104, CULVER CITY, CA 90232-2751
(310) 837-9700
(310) 837-9701
Mailing address
3831 HUGHES AVE, STE 104, CULVER CITY, CA 90232-2751
(310) 837-9700
(310) 837-9701
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Enumeration date
07/19/2005
Last updated
08/22/2020
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