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Michael Sutcliffe Jr., PT

Physical Therapist in Hawthorne, CA. Individual provider (NPI-1).

NPI number1861851024
StatusActive
Last updated in NPPESDec 1, 2021

Details

NPI
1861851024
Entity type
Individual (NPI-1)
Name
Michael Sutcliffe Jr.
Credential
PT
Sex
Male
Sole proprietor
Yes
Enumeration date
Feb 16, 2016
Certification date
Dec 1, 2021
Last updated
Dec 1, 2021

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
225100000X Physical Therapist291201CAYes

Practice location

11840 S La Cienega Blvd
Hawthorne, CA 90250-3459

Phone 424-269-3400

Mailing address

11840 S La Cienega Blvd
Hawthorne, CA 90250-3459

Phone 424-269-3400

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