Niea Connect Health Group
Physical Therapist in Los Angeles, CA. Organization (NPI-2).
NPI number1104764281
StatusActive
Last updated in NPPESSep 4, 2026
Details
- NPI
- 1104764281
- Entity type
- Organization (NPI-2)
- Legal business name
- Niea Connect Health Group
- Organization subpart
- No
- Enumeration date
- Mar 23, 2026
- Certification date
- Sep 4, 2026
- Last updated
- Sep 4, 2026
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 225100000X | Physical Therapist | – | – | Yes |
Practice location
8559 Alcott St Apt 104Los Angeles, CA 90035-4915
Phone 424-335-4939
Mailing address
8559 Alcott St Apt 104Los Angeles, CA 90035-4915
Authorized official
Amanda Etumadu
Owner
4243354939
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