Organization
BODYWELLNESS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NATALIE MIRSKY (MANAGING DIRECTOR)
(310) 270-7549
Entity
Organization
Contact information
Practice address
1821 WILSHIRE BLVD, SUITE 401, SANTA MONICA, CA 90403-5618
(310) 453-1221
Mailing address
2445 WALGROVE AVE, LOS ANGELES, CA 90066-4134
(310) 270-7549
(310) 822-8026
Taxonomy
Speciality
Code
Description
License number
State
2251X0800X
Orthopedic Physical Therapist
Primary
29826
CA
Other
Enumeration date
07/06/2006
Last updated
08/07/2008
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