Sports Medicine Institute - Los Angeles a Prof Physical Therapy Co

NPI #1093713125 in Los Angeles, California

Provider Information

NPI Number: 1093713125
Entity Type: Organization
Organization Name: Sports Medicine Institute - Los Angeles a Prof Physical Therapy Co
Primary Specialty: Physical Therapist
Enumeration Date: Jul 12, 2005
Last Updated: Sep 23, 2015

Practice Location

Address: 9100 S SEPULVEDA BLVD
Address 2: STE 116
City: Los Angeles
State: California
ZIP Code: 90045-4814
Phone: (714) 939-6200

Authorized Official

Name: CINDY GRAHAM, PT
Title: MANAGER
Phone: (714) 939-6200

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist	225100000X	Primary

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