Organization
LA LOUISE COMPANY LLC
Active
Other names
Anatomie Studio
Organization subpart
No
Provider details
NPI number
Authorized official
MR. NATHANIEL BURWELL (CHIEF OPERATING OFFICE)
(424) 421-4300
Entity
Organization
Contact information
Practice address
1414 W COLORADO BLVD, PASADENA, CA 91105-1414
(424) 421-4300
Mailing address
1414 W COLORADO BLVD, PASADENA, CA 91105-1414
(424) 421-4300
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
—
—
171100000X
Acupuncturist
—
—
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
09/16/2019
Last updated
09/16/2019
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