Organization
PHYSICAL THERAPY CONCIERGE SERVICE INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARIAM PASHTOONWAR BUTLER DPT (DOCTOR OF PHYSICAL THERAPY)
(661) 755-4751
Entity
Organization
Contact information
Practice address
704 N. IRENA, B, REDONDO BEACH, CA 90277
(661) 755-4751
Mailing address
704 N IRENA AVE, B, REDONDO BEACH, CA 90277-2217
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
32976
CA
261QP2000X
Physical Therapy Clinic/Center
34642
CA
Other
Enumeration date
05/02/2014
Last updated
05/02/2014
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