Organization
CYPRESS PHYSICAL THERAPY CENTER, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. KIMBERLY JEAN RUSSELL PT (PHYSICAL THERAPIST)
(801) 589-9909
Entity
Organization
Contact information
Practice address
860 VIA DE LA PAZ STE B1, PACIFIC PALISADES, CA 90272-3681
(310) 573-9553
Mailing address
6014 W 82ND ST, LOS ANGELES, CA 90045-3001
(801) 589-9909
Taxonomy
Speciality
Code
Description
License number
State
2251X0800X
Orthopedic Physical Therapist
Primary
—
—
Other
Enumeration date
09/18/2023
Last updated
09/29/2023
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