Organization
PHYSICAL THERAPY CONCIERGE SERVICE INC
Active
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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