Organization
ANDREW COTHAM PHYSICAL THERAPY P.C.
Active
Other names
Outback Rehab Inc
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ANDREW COTHAM PT (PREIDENT/CEO)
(323) 401-1935
Entity
Organization
Contact information
Practice address
50 ALESSANDRO PL, SUITE A40, PASADENA, CA 91105-3149
(323) 401-1935
Mailing address
3311 CALIFORNIA AVE, EL MONTE, CA 91731-3133
(323) 401-1935
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
—
—
Other
Enumeration date
08/12/2012
Last updated
08/12/2012
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