Natalie Blanco Mirsky
Clinic/Center, Physical Therapy in Santa Monica, CA. Organization (NPI-2).
NPI number1487786133
StatusActive
Last updated in NPPESJun 27, 2008
Details
- NPI
- 1487786133
- Entity type
- Organization (NPI-2)
- Legal business name
- Natalie Blanco Mirsky
- Organization subpart
- No
- Enumeration date
- Mar 9, 2007
- Last updated
- Jun 27, 2008
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261QP2000X | Clinic/Center, Physical Therapy | – | – | Yes |
Practice location
1831 Wilshire Blvd Ste ESanta Monica, CA 90403-5779
Phone 310-453-1221 · Fax 310-829-5319
Mailing address
1831 Wilshire Blvd Ste ESanta Monica, CA 90403-5779
Phone 310-453-1221 · Fax 310-829-5319
Authorized official
Natalie Blanco Mirsky
Founder Managing Director
3102707549
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