Organization
BROOKE MITCHELL PHYSICAL THERAPY, INC.
Active
Organization
BROOKE MITCHELL PHYSICAL THERAPY, INC.
Active
Other names
Maven Physical Therapy and Performance
Organization subpart
No
Provider details
NPI number
Authorized official
BROOKE MITCHELL DPT (CEO)
(424) 272-9767
Entity
Organization
Contact information
Practice address
1243 7TH ST STE C, SANTA MONICA, CA 90401-1656
(424) 272-9767
Mailing address
1057 CORSICA DR, PACIFIC PALISADES, CA 90272-4013
(310) 490-7817
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1851443923
PERSONAL NPI
CA
Enumeration date
07/21/2021
Last updated
07/21/2021
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