Organization
LA MAIN PHYSICAL THERAPY INC
Active
Organization
LA MAIN PHYSICAL THERAPY INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. FABRICE GAUTIER RPT (OWNER)
(310) 273-7660
Entity
Organization
Contact information
Practice address
260 S BEVERLY DR, SUITE 210, BEVERLY HILLS, CA 90212-3833
(310) 273-7660
(310) 273-7661
Mailing address
260 S BEVERLY DR, SUITE 210, BEVERLY HILLS, CA 90212-3833
(310) 273-7660
(310) 273-7661
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
PT27208
CA
Other
Enumeration date
05/10/2013
Last updated
04/12/2016
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