Organization
AIRPORT MARINA PHYSICAL THERAPY INC
Active
Other names
Airport Marina Physical Therapy
Organization subpart
No
Provider details
NPI number
Authorized official
CHARLES GYDEN PHYSICAL THERAPIST (OWNER/DIRECTOR)
(310) 419-7600
Entity
Organization
Contact information
Practice address
426 W MANCHESTER BLVD, INGLEWOOD, CA 90301-1110
(310) 419-7600
Mailing address
426 W MANCHESTER BLVD, INGLEWOOD, CA 90301-1110
(310) 419-6007
(310) 419-7667
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Enumeration date
10/06/2022
Last updated
10/06/2022
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