Organization
HEREL PHYSICAL THERAPY PC
Active
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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