Organization
VICTOR MODE PHYSICAL THERAPY & WELLNESS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ITORO VICTOR (OWNER)
(415) 937-7303
Entity
Organization
Contact information
Practice address
1114 W 56TH ST, LOS ANGELES, CA 90037-3904
(415) 937-7303
Mailing address
1114 W 56TH ST, LOS ANGELES, CA 90037-3904
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
—
—
261QP2000X
Physical Therapy Clinic/Center
Primary
—
—
Other
Enumeration date
09/17/2021
Last updated
09/17/2021
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