Organization
BODYSCAPE INTEGRATIVE PHYSICAL THERAPY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LESLIE ELLEN FRANK DPT (PRESIDENT)
(626) 449-3900
Entity
Organization
Contact information
Practice address
3018 E COLORADO BLVD STE 100, PASADENA, CA 91107-3840
(626) 449-3900
(626) 449-4505
Mailing address
3018 E COLORADO BLVD STE 100, PASADENA, CA 91107-3840
(626) 449-3900
(626) 449-4505
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT27660
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
ZZZ05566Z
BLUE SHIELD
CA
Enumeration date
03/10/2006
Last updated
11/28/2018
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