Organization
PATHWAY PHYSICAL THERAPY
Active
Organization
PATHWAY PHYSICAL THERAPY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
STACI HARRIS (PHYSICAL THERAPIST)
(520) 406-4128
Entity
Organization
Contact information
Practice address
12130 OHIO AVE APT 311, LOS ANGELES, CA 90025-2580
(520) 406-4128
Mailing address
12130 OHIO AVE APT 311, LOS ANGELES, CA 90025-2580
(520) 406-4128
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
—
—
Other
Enumeration date
08/27/2025
Last updated
08/27/2025
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