Independent Physical Therapy INC

NPI #1356426902 in Hermosa Beach, California

Provider Information

NPI Number: 1356426902
Entity Type: Organization
Organization Name: Independent Physical Therapy INC
Primary Specialty: Physical Therapist
Enumeration Date: Oct 25, 2006
Last Updated: Jul 13, 2021

Practice Location

Address: 1601 PACIFIC COAST HWY
Address 2: SUITE 165
City: Hermosa Beach
State: California
ZIP Code: 90254-3213
Phone: (310) 539-8800

Authorized Official

Name: MR. THOMAS JAMES CIPOLLA
Title: DIRECTOR
Phone: (310) 539-8800

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist	225100000X	Primary

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