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Organization

MARY PINERO, DPT PHYSICAL THERAPY, PC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. MARY JEANNE PINERO DPT (OWNER)
(310) 412-0100
Entity
Organization

Contact information

Practice address
501 E HARDY ST, SUITE 410, INGLEWOOD, CA 90301-4054
(310) 412-0100
Mailing address
501 E HARDY ST, SUITE 410, INGLEWOOD, CA 90301-4054
(310) 412-0100

Taxonomy

Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
26496
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
DR572
MEDICARE PTAN
CA
01
DT1636
MEDICARE RR PTAN
CA
Enumeration date
09/27/2010
Last updated
10/26/2016
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