Organization
EVOLVE OCCUPATIONAL & PHYSICAL THERAPY P.C.
Active
Other names
Evolve Therapy
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LORI KENUK PT, DPT (CEO, PRESIDENT)
(856) 220-1460
Entity
Organization
Contact information
Practice address
11490 BRADDOCK DR, CULVER CITY, CA 90230-5151
(856) 220-1460
(855) 330-1292
Mailing address
11490 BRADDOCK DR, CULVER CITY, CA 90230-5151
(856) 220-1460
(855) 330-1292
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
—
—
Other
Enumeration date
07/02/2014
Last updated
07/02/2014
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