Organization
RE ACTIVE PHYSICAL THERAPY AND WELLNESS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JULIE HERSHBERG (OWNER)
(310) 433-0369
Entity
Organization
Contact information
Practice address
8830 S SEPULVEDA BLVD, LOS ANGELES, CA 90045-4833
(310) 433-0369
(310) 933-4803
Mailing address
8830 S SEPULVEDA BLVD, LOS ANGELES, CA 90045-4833
(310) 433-0369
(310) 933-4803
Taxonomy
Speciality
Code
Description
License number
State
2251N0400X
Neurology Physical Therapist
Primary
27665
CA
Other
Enumeration date
08/30/2012
Last updated
08/30/2012
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