Organization
VIDA KIDS PHYSICAL THERAPY P.C.
Active
Organization
VIDA KIDS PHYSICAL THERAPY P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CYNTHIA HUGHELL PT (CEO/PHYSICAL THERAPIST)
(424) 422-0446
Entity
Organization
Contact information
Practice address
11726 SAN VICENTE BLVD STE 222, LOS ANGELES, CA 90049-5045
(424) 724-0944
Mailing address
11726 SAN VICENTE BLVD STE 222, LOS ANGELES, CA 90049-5045
(424) 724-0944
Taxonomy
Speciality
Code
Description
License number
State
2251P0200X
Pediatric Physical Therapist
Primary
—
—
225XP0200X
Pediatric Occupational Therapist
—
—
Other
Enumeration date
08/26/2024
Last updated
08/26/2024
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