Organization
HEREL PHYSICAL THERAPY PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PHILLIP DANIEL HEREL DPT (DOCTOR OF PHYSICAL THERAPY)
(607) 761-4992
Entity
Organization
Contact information
Practice address
11427 CULVER BLVD, LOS ANGELES, CA 90066-6009
(607) 761-4992
Mailing address
11911 SAN VICENTE BLVD, LOS ANGELES, CA 90049-5086
(607) 761-4992
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
42569
CA
Other
Enumeration date
05/17/2016
Last updated
05/17/2016
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