Organization
CENTERIMT LOS ANGELES
Active
Other names
CenterIMT Orange County
Organization subpart
No
Provider details
NPI number
Authorized official
JULIE SHISHINO (PHYSICAL THERAPIST)
(310) 649-5339
Entity
Organization
Contact information
Practice address
8540 S SEPULVEDA BLVD, STE 702, LOS ANGELES, CA 90045-3807
(310) 649-5339
Mailing address
8540 S SEPULVEDA BLVD, STE 702, LOS ANGELES, CA 90045-3807
(310) 649-5339
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Enumeration date
05/18/2006
Last updated
10/12/2007
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