Organization
BODY REFORM PHYSICAL THERAPIES INC.
Active
Other names
Body Reform
Organization subpart
No
Provider details
NPI number
Authorized official
MR. SHANNON B. HARRIS P.T., OCS (CEO, PHYSICAL THERAPIST)
(310) 247-8414
Entity
Organization
Contact information
Practice address
414 N CAMDEN DR, 1050, BEVERLY HILLS, CA 90210-4532
(310) 247-8414
(310) 247-9414
Mailing address
414 N CAMDEN DR, 1050, BEVERLY HILLS, CA 90210-4532
(310) 247-8414
(310) 247-9414
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
PT 24206
CA
Other
Enumeration date
04/23/2007
Last updated
08/22/2020
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