Organization
SOURCE MOBILITY INCORPORATED
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. ZAARA GATSON PTA (CE0)
(562) 259-4119
Entity
Organization
Contact information
Practice address
5150 CANDLEWOOD ST, LAKEWOOD, CA 90712-1925
(562) 534-1134
Mailing address
5150 CANDLEWOOD ST, LAKEWOOD, CA 90712-1925
(562) 534-1134
Taxonomy
Speciality
Code
Description
License number
State
2251G0304X
Geriatric Physical Therapist
Primary
—
—
251E00000X
Home Health Agency
—
—
Other
Enumeration date
01/23/2023
Last updated
02/14/2023
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