Organization
WATER PT SPECIALISTS INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JESSICA SEMMEL (OWNER)
(310) 991-7751
Entity
Organization
Contact information
Practice address
8015 S SEPULVEDA BLVD, LOS ANGELES, CA 90045-2940
(310) 991-7751
(310) 881-1219
Mailing address
PO BOX 1249, REDONDO BEACH, CA 90278-0249
(310) 991-7751
(310) 881-1219
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
PT25373
CA
2251S0007X
Sports Physical Therapist
Primary
PT25373
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PT25373
CA LICENCE
CA
Enumeration date
07/02/2009
Last updated
09/13/2019
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