Organization
LIFE HYPERBARICS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
THERESA M ROGERS CMT, SEP (OWNER)
(714) 349-6237
Entity
Organization
Contact information
Practice address
7499 CERRITOS AVE, STANTON, CA 90680-2008
(714) 527-4000
(714) 710-8287
Mailing address
7499 CERRITOS AVE, STANTON, CA 90680-2008
(714) 527-4000
(714) 710-8287
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4811
CERTIFIED MASSAGE THERAPIST
CA
Enumeration date
10/01/2021
Last updated
10/01/2021
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