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Independent Physical Therapy INC

Physical Therapist in Carson, CA. Organization (NPI-2).

NPI number1124101142
StatusActive
Last updated in NPPESJul 13, 2021

Details

NPI
1124101142
Entity type
Organization (NPI-2)
Legal business name
Independent Physical Therapy INC
Organization subpart
No
Enumeration date
Oct 23, 2006
Certification date
Jul 13, 2021
Last updated
Jul 13, 2021

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
225100000X Physical Therapist––Yes

Practice location

559 E Carson St Ste B
Carson, CA 90745-2721

Phone 310-539-8800 · Fax 310-233-3231

Mailing address

Po Box 235
Palos Verdes Estates, CA 90274-0235

Phone 310-539-8800 · Fax 310-698-5410

Authorized official

Thomas James Cipolla
Director
3105398800

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