Organization
GRAHAM PHYSICAL THERAPY, INC.
Active
Organization
GRAHAM PHYSICAL THERAPY, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CINDY GRAHAM PT (CFO)
(310) 490-6811
Entity
Organization
Contact information
Practice address
1 LMU DR, ATHLETIC DEPARTMENT, LOS ANGELES, CA 90045-2650
(310) 995-1669
Mailing address
247 MARKET ST, UNIT C, VENICE, CA 90291-5317
(310) 490-6811
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
PT23946
CA
261QP2000X
Physical Therapy Clinic/Center
Primary
PT23979
CA
Other
Enumeration date
08/28/2015
Last updated
08/28/2015
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