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Bodywellness

Physical Therapist, Orthopedic in Santa Monica, CA. Organization (NPI-2).

NPI number1649201682
StatusActive
Last updated in NPPESAug 7, 2008

Details

NPI
1649201682
Entity type
Organization (NPI-2)
Legal business name
Bodywellness
Organization subpart
No
Enumeration date
Jul 6, 2006
Last updated
Aug 7, 2008

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
2251X0800X Physical Therapist, Orthopedic29826CAYes

Practice location

1821 Wilshire Blvd
Suite 401
Santa Monica, CA 90403-5618

Phone 310-453-1221

Mailing address

2445 Walgrove Ave
Los Angeles, CA 90066-4134

Phone 310-270-7549 · Fax 310-822-8026

Authorized official

Natalie Mirsky
Managing Director
3102707549

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