Organization
SOUTH COAST PHYSICAL THERAPY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SOAD A SALAM RPT (PHYSICAL THERAPIST OFFICE MANAGER)
(714) 842-6171
Entity
Organization
Contact information
Practice address
5750 DOWNEY AVE, #301, LAKEWOOD, CA 90712
(562) 633-3501
(562) 633-6178
Mailing address
17752 BEACH BLVD, #306, HUNTINGTON BEACH, CA 92646
(714) 842-6171
(714) 842-0281
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
—
—
Other
Enumeration date
11/16/2006
Last updated
12/13/2011
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