Organization
GRATTO AQUATIC REHAB
Active
Other names
same
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MORRIS SHAPOW DPT, PHD (PRESIDENT / OWNER)
(310) 492-9355
Entity
Organization
Contact information
Practice address
13160 MINDANAO WAY STE. 308, MARINA DEL RAY, CA 90292
(310) 492-9355
Mailing address
13160 MINDANAO WAY STE. 308, MARINA DEL RAY, CA 90292
Taxonomy
Speciality
Code
Description
License number
State
246Z00000X
Other Specialist/Technologist
Primary
—
—
261QP2000X
Physical Therapy Clinic/Center
—
—
Other
Enumeration date
09/16/2015
Last updated
02/13/2019
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