Organization
DYNAMICS WALKAGAIN REHAB INC.
Active
Other names
DYNAMICS SPINAL CORD REHAB UNIT
Organization subpart
No
Provider details
NPI number
Authorized official
MR. PETER SEAN CPO (CHIEF EXECUTIVE OFFICER)
(213) 383-6860
Entity
Organization
Contact information
Practice address
1830 W OLYMPIC BLVD, STE 130, LOS ANGELES, CA 90006-3734
(213) 383-6860
(213) 383-6421
Mailing address
1830 W OLYMPIC BLVD STE 123, LOS ANGELES, CA 90006-3734
(213) 383-6860
(213) 383-6421
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
GPT000880
CA
261QP2000X
Physical Therapy Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
GPT000880
—
CA
Enumeration date
02/12/2007
Last updated
02/08/2019
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