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Organization

HARBOR PHYSICAL THERAPY & SPORTS MEDICAL

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. MICHAEL T ODONNELL DPT, OCS (OWNER/DIRECTOR)
(310) 547-1850
Entity
Organization

Contact information

Practice address
1294 WEST 6TH STREET, SUITE 101, SAN PEDRO, CA 90732-2997
(310) 547-1850
(310) 547-1972
Mailing address
1294 WEST 6TH STREET, SUITE 101, SAN PEDRO, CA 90732-2997
(310) 547-1850
(310) 547-1972

Taxonomy

Speciality
Code
Description
License number
State
2251X0800X
Orthopedic Physical Therapist
Primary
PT11977
CA

Other

Enumeration date
08/03/2006
Last updated
11/21/2022
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