Organization
ELITE ORTHOSPORT PERFORMANCE PHYSICAL THERAPY
Active
Other names
Elite OrthoSport Performance Physical Therapy
Organization subpart
No
Provider details
NPI number
Authorized official
HEATHER MILLIGAN PT (OWNER/PRESIDENT)
(310) 477-7774
Entity
Organization
Contact information
Practice address
12121 WILSHIRE BLVD STE 100, LOS ANGELES, CA 90025-1221
(310) 477-7774
Mailing address
12121 WILSHIRE BLVD STE 100, LOS ANGELES, CA 90025-1221
(310) 477-7774
Taxonomy
Speciality
Code
Description
License number
State
2251S0007X
Sports Physical Therapist
Primary
—
—
Other
Enumeration date
02/01/2022
Last updated
02/17/2022
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