Organization
ELITE ORTHOSPORT PHYSICAL THERAPY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
HEATHER MILLIGAN PT (PRESIDENT)
(310) 477-7774
Entity
Organization
Contact information
Practice address
12121 WILSHIRE BLVD STE 100, LOS ANGELES, CA 90025-1221
(310) 477-7774
(310) 477-7773
Mailing address
12121 WILSHIRE BLVD STE 100, LOS ANGELES, CA 90025-1221
(310) 477-7774
(310) 477-7773
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
—
—
Other
Enumeration date
10/21/2012
Last updated
02/07/2022
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