Organization
BETANCOURT PHYSICAL THERAPY
Active
Other names
Centripetal Force studio
Organization subpart
No
Provider details
NPI number
Authorized official
GINA BETANCOURT PT (OWNER)
(562) 882-0564
Entity
Organization
Contact information
Practice address
4918 E 2ND ST, LONG BEACH, CA 90803-5318
(562) 438-1176
Mailing address
273 XIMENO AVE, LONG BEACH, CA 90803-1657
(562) 882-0564
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
27424
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PT 27424
LICENSE
CA
Enumeration date
10/07/2011
Last updated
10/07/2011
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