Organization
HYMANSON PHYSICAL THERAPY, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CARRIE HYMANSON P.T. (OWNER)
(310) 477-8622
Entity
Organization
Contact information
Practice address
1217 9TH ST, MANHATTAN BEACH, CA 90266-6017
(310) 477-8622
(310) 937-6926
Mailing address
1217 9TH ST, MANHATTAN BEACH, CA 90266-6017
(310) 477-8622
(310) 937-6926
Taxonomy
Speciality
Code
Description
License number
State
2251X0800X
Orthopedic Physical Therapist
Primary
PT7543
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
W21332
MEDICARE PTAN
CA
01
—
ZZZ21430Z
BLUE SHIELD ID NUMBER
CA
Enumeration date
01/08/2007
Last updated
08/17/2016
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