Organization
BODY REFORM PHYSICAL THERAPIES, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARY P. HARRIS (CO-OWNER)
(310) 247-8414
Entity
Organization
Contact information
Practice address
9665 WILSHIRE BLVD, #222, BEVERLY HILLS, CA 90212-2340
(310) 247-8414
(310) 247-9414
Mailing address
9665 WILSHIRE BLVD, #222, BEVERLY HILLS, CA 90212-2340
(310) 247-8414
(310) 247-9414
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
PT24206
CA
Other
Enumeration date
11/17/2010
Last updated
11/17/2010
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