Organization
OCEAN PHYSICAL THERAPY & WELLNESS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MICHELLE SUSAN SCHRADER PT, MBA (PRESIDENT, FOUNDER)
(310) 850-5373
Entity
Organization
Contact information
Practice address
15449 DE PAUW ST, PACIFIC PALISADES, CA 90272-4370
(310) 850-5373
Mailing address
929 MONTANA AVE, SANTA MONICA, CA 90403-1504
(310) 850-5373
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
PT20610
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
WPT20610A
PTAN
CA
Enumeration date
08/28/2013
Last updated
11/14/2013
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