Organization
A PHYSICAL THERAPY ALTERNATIVE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NOUSH MAKKI (OFFICE MANAGER)
(310) 828-6584
Entity
Organization
Contact information
Practice address
1450 CLOVERFIELD BLVD, SANTA MONICA, CA 90404-2943
(310) 828-6584
(310) 453-3373
Mailing address
1450 CLOVERFIELD BLVD, SANTA MONICA, CA 90404-2943
(310) 828-6584
(310) 453-3373
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT15905
CA
Other
Enumeration date
10/09/2007
Last updated
10/09/2007
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