Organization
SPORTSFIT
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOURAK RICK RAFAEL DPT, OCS, CSCS (OWNER)
(310) 878-2540
Entity
Organization
Contact information
Practice address
2425 COLORADO AVE, SUITE 114, SANTA MONICA, CA 90404-3584
(310) 878-2540
(310) 878-2536
Mailing address
2425 COLORADO AVE, SUITE 114, SANTA MONICA, CA 90404-3584
(310) 878-2540
(310) 878-2536
Taxonomy
Speciality
Code
Description
License number
State
2251X0800X
Orthopedic Physical Therapist
Primary
34446
CA
Other
Enumeration date
10/02/2010
Last updated
10/02/2010
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