Organization
ATHLETIC LAB PHYSICAL THERAPY AND PERFORMANCE TRAINING
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LAUREN FREITAS DPT (OWNER)
(805) 878-4046
Entity
Organization
Contact information
Practice address
1454 LINCOLN BLVD, SANTA MONICA, CA 90401-2733
(805) 878-4046
Mailing address
1330 STANFORD ST APT F, SANTA MONICA, CA 90404-2543
(805) 878-4046
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
—
—
Other
Enumeration date
05/12/2021
Last updated
09/06/2023
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