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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