Organization
PHZIO NEW JERSEY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DARWIN FOGT MPT (PRESIDENT)
(310) 722-6574
Entity
Organization
Contact information
Practice address
2019 CLYDE AVE, LOS ANGELES, CA 90016-1012
(310) 722-6574
Mailing address
2019 CLYDE AVE, LOS ANGELES, CA 90016-1012
(310) 722-6574
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
—
—
Other
Enumeration date
02/19/2019
Last updated
02/19/2019
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