Green Wells Eecp Physical Therapy

NPI 1013246222 - Residential Treatment Facility, Physical Disabilities - 320700000X

NPI Details
NPI 1013246222
Enumeration Date 12/17/2009
Last Updated 12/17/2009
Entity Type Healthcare Provider
Active Over 6 years ago
Authorized Information
Name JARED JASON JARED
Position OWNER/CHIEF TECHICIAN
Phone (310) 405-1478
Fax
Practice Location
8602 ELBURG STREET APT C
PARAMOUNT CA, 90723, US
Phone (310) 405-1478
Fax
Business Location
8602 ELBURG ST UNIT C
7136 PACIFIC BLVD SUITE 220
PARAMOUNT CA, 90723-8632, US
Phone (323) 588-5467
Fax (323) 589-6662
Toxanomy
Taxonomy Code 320700000X
License State
License Number
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According to our database, Green Wells Eecp Physical Therapy NPI is 1013246222, taxonomy code is 320700000X Green Wells Eecp Physical Therapy physically located at 8602 Elburg Street Apt C, Paramount CA, 90723. NPI Number 1033115704 has the healthcare provider type.

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1013246222 NPI number is provided on an as is basis without warranty of any kind. 1013246222 is maintained by the National Plan & Provider Enumeration System. The contents of Green Wells Eecp Physical Therapy are for informational purposes only.