Mark Anthony Sports LLC
NPI #1225466964 in Redondo Beach, California
Provider Information
- NPI Number
- 1225466964
- Entity Type
- Organization
- Organization Name
- Mark Anthony Sports LLC
- Primary Specialty
- Physical Therapist - Orthopedic
- Enumeration Date
- Oct 15, 2013
- Last Updated
- Oct 15, 2013
Practice Location
- Address
- 112 S CATALINA AVE
- Address 2
- SUITE 6
- City
- Redondo Beach
- State
- California
- ZIP Code
- 90277-3384
- Phone
- (310) 801-8879
Authorized Official
- Name
- MARK ANTHONY PAYARES, DPT
- Title
- OWNER
- Phone
- (310) 801-8879
Specialties & Taxonomy Codes
| Specialty |
|---|
| Physical Therapist - Orthopedic — Orthopedic |
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