Organization
PLAYA PHYSICAL THERAPY
Active
Other names
Playa Physical Therapy
Organization subpart
No
Provider details
NPI number
Authorized official
MR. AARON MICHAEL WILLIS DPT (CEO/PHYSICAL THERAPIST)
(310) 823-2220
Entity
Organization
Contact information
Practice address
13163 FOUNTAIN PARK DR, SUITE A, PLAYA VISTA, CA 90094-2040
(310) 823-2220
(310) 823-2636
Mailing address
13163 FOUNTAIN PARK DR, SUITE A, PLAYA VISTA, CA 90094-2040
(310) 823-2220
(310) 823-2636
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
ZZZ08931Z
BLUE SHIELD PROVIDER #
CA
Enumeration date
05/25/2006
Last updated
09/06/2013
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