Organization
SPORTS MEDICINE PHYSICAL THERAPY GROUP INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. ANN MORI P.T. (PRESIDENT)
(818) 952-0906
Entity
Organization
Contact information
Practice address
650 FOOTHILL BLVD, LA CANADA, CA 91011-3429
(818) 952-0906
Mailing address
650 FOOTHILL BLVD, LA CANADA, CA 91011-3429
(818) 952-0906
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
PT10483
CA
261QP2000X
Physical Therapy Clinic/Center
PT219
CA
Other
Enumeration date
05/15/2007
Last updated
08/12/2010
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