Organization
CALIFORNIA REHAB AND SPORTS THERAPY
Active
Other names
California Rehabilitation - Beverly Hills
Organization subpart
No
Provider details
NPI number
Authorized official
ROBERT PACE (COO)
(213) 804-1712
Entity
Organization
Contact information
Practice address
955 CARRILLO DR STE 103, LOS ANGELES, CA 90048-5400
(310) 854-0529
(310) 854-0768
Mailing address
2035 CORTE DEL NOGAL STE 200, CARLSBAD, CA 92011-1445
(903) 486-6025
Taxonomy
Speciality
Code
Description
License number
State
225XH1200X
Hand Occupational Therapist
Primary
OT 2401
CA
261QP2000X
Physical Therapy Clinic/Center
—
—
Other
Enumeration date
05/11/2006
Last updated
11/14/2019
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