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Organization

ADVANCED THERAPY CENTER

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. MANOJ PARIDA OTR/L (PRESIDENT)
(818) 314-5774
Entity
Organization

Contact information

Practice address
3475 TORRANCE BLVD STE B2, TORRANCE, CA 90503-5800
(310) 316-7748
(310) 316-7648
Mailing address
3475 TORRANCE BLVD STE B2, TORRANCE, CA 90503-5800
(310) 316-7748

Taxonomy

Speciality
Code
Description
License number
State
225000000X
Orthotic Fitter
2251H1200X
Hand Physical Therapist
2251S0007X
Sports Physical Therapist
2251X0800X
Orthopedic Physical Therapist
225XE1200X
Ergonomics Occupational Therapist
225XF0002X
Feeding, Eating & Swallowing Occupational Therapist
225XH1200X
Hand Occupational Therapist
Primary
225XN1300X
Neurorehabilitation Occupational Therapist
225XP0019X
Physical Rehabilitation Occupational Therapist
225XP0200X
Pediatric Occupational Therapist
235Z00000X
Speech-Language Pathologist

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
CB354864
MEDICARE
CA
Enumeration date
01/29/2018
Last updated
10/31/2022
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