Organization
MBJ THERAPY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MELANIE BARKER (CO-OWNER)
(781) 864-8252
Entity
Organization
Contact information
Practice address
11620 W WASHINGTON BLVD, LOS ANGELES, CA 90066-5916
(781) 864-8252
Mailing address
2385 ROSCOMARE RD UNIT E8, LOS ANGELES, CA 90077-1821
Taxonomy
Speciality
Code
Description
License number
State
261QR0400X
Rehabilitation Clinic/Center
Primary
36875
CA
Other
Enumeration date
02/02/2015
Last updated
02/02/2015
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