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Mary Pinero, Dpt Physical Therapy, PC

Clinic/Center, Physical Therapy in Inglewood, CA. Organization (NPI-2).

NPI number1154630002
StatusActive
Last updated in NPPESOct 26, 2016

Details

NPI
1154630002
Entity type
Organization (NPI-2)
Legal business name
Mary Pinero, Dpt Physical Therapy, PC
Organization subpart
No
Enumeration date
Sep 27, 2010
Last updated
Oct 26, 2016

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
261QP2000X Clinic/Center, Physical Therapy26496CAYes

Practice location

501 E Hardy St
Suite 410
Inglewood, CA 90301-4054

Phone 310-412-0100

Mailing address

501 E Hardy St
Suite 410
Inglewood, CA 90301-4054

Phone 310-412-0100

Authorized official

Mary Jeanne Pinero
Owner
3104120100

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