Organization
BODY DYNAMIX INTEGRATED SPORTS MEDICINE, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ERIN DAIGLE (BILLING MANAGER)
(818) 706-9435
Entity
Organization
Contact information
Practice address
18344 OXNARD STREET, UNIT 104, TARZANA, CA 91356
(818) 783-4085
(818) 783-4065
Mailing address
18344 OXNARD STREET, UNIT 104, TARZANA, CA 91356
(818) 783-4085
(818) 783-4065
Taxonomy
Speciality
Code
Description
License number
State
111NR0400X
Rehabilitation Chiropractor
—
—
208100000X
Physical Medicine & Rehabilitation Physician
Primary
—
CA
Other
Enumeration date
05/19/2015
Last updated
07/21/2022
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