Organization
AKINS ALDOUS PHYSICAL THERAPY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TRACY AKINS ALDOUS DPT, OCS (PRESIDENT)
(310) 433-9255
Entity
Organization
Contact information
Practice address
900 WILSHIRE BLVD, SUITE 315, SANTA MONICA, CA 90401-1872
(310) 433-9255
(714) 527-2378
Mailing address
4075 AVENIDA SEVILLA, CYPRESS, CA 90630-3411
(310) 433-9255
(714) 527-2378
Taxonomy
Speciality
Code
Description
License number
State
2251X0800X
Orthopedic Physical Therapist
Primary
24041
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
OPT240410
BLUE SHIELD OF CA PRVDR #
CA
Enumeration date
06/18/2006
Last updated
06/16/2008
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