Organization
SUPPLEMENTAL HEALTH CARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. LAURA MARIE MCBURNETT PTA (PHYSICAL THERAPIST ASSISTANT)
(206) 499-0400
Entity
Organization
Contact information
Practice address
ONE CIVIC PLAZA DRIVE, CARSON, CA 90745
(866) 414-0448
Mailing address
450 AUTUMN SAGE COURT, RIVERSIDE, CA 92506-6291
Taxonomy
Speciality
Code
Description
License number
State
282N00000X
General Acute Care Hospital
Primary
AT 8682
CA
Other
Enumeration date
03/02/2011
Last updated
03/02/2011
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