Organization
BLUE WATER ENTERPRISES, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JOSEPH MATTHEW NESPOLI MPT (OWNER)
(310) 329-9442
Entity
Organization
Contact information
Practice address
18039 CRENSHAW BLVD, SUITE 203, TORRANCE, CA 90504-5126
(310) 329-9442
Mailing address
18039 CRENSHAW BLVD, SUITE 203, TORRANCE, CA 90504-5126
(310) 329-9442
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
—
—
Other
Enumeration date
10/28/2010
Last updated
01/19/2012
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