Organization
THRIVE AND SHINE THERAPY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NEDA REZAPOOR (CLINICAL DIRECTOR)
(310) 866-9958
Entity
Organization
Contact information
Practice address
3251 W 6TH ST STE 401, LOS ANGELES, CA 90020-5029
(310) 954-9614
Mailing address
3251 W 6TH ST STE 401, LOS ANGELES, CA 90020-5029
Taxonomy
Speciality
Code
Description
License number
State
2251P0200X
Pediatric Physical Therapist
Primary
—
—
Other
Enumeration date
10/01/2024
Last updated
10/01/2024
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