Green Wells Eecp Physical Therapy
NPI #1013246222 in Paramount, California
Provider Information
- NPI Number
- 1013246222
- Entity Type
- Organization
- Organization Name
- Green Wells Eecp Physical Therapy
- Primary Specialty
- Residential Treatment Facility, Physical Disabilities
- Enumeration Date
- Dec 17, 2009
- Last Updated
- Dec 17, 2009
Practice Location
- Address
- 8602 ELBURG STREET APT C
- City
- Paramount
- State
- California
- ZIP Code
- 90723
- Phone
- (310) 405-1478
Authorized Official
- Name
- MR. JARED JASON WELLS
- Title
- OWNER/CHIEF TECHICIAN
- Phone
- (310) 405-1478
Specialties & Taxonomy Codes
| Specialty |
|---|
| Residential Treatment Facility, Physical Disabilities |
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