Prosport Physical Therapy Professionals INC

NPI #1487648341 in Rancho Palos Verdes, California

Provider Information

NPI Number: 1487648341
Entity Type: Organization
Organization Name: Prosport Physical Therapy Professionals INC
Subpart: Yes (part of a larger organization)
Parent Organization: PALOS VERDES REHABILITATION CLINIC INC
Primary Specialty: Physical Therapist
Enumeration Date: Sep 7, 2005
Last Updated: Dec 6, 2023

Practice Location

Address: 28924 S WESTERN AVE
Address 2: SUITE 101
City: Rancho Palos Verdes
State: California
ZIP Code: 90275-0885
Phone: (310) 548-0104

Authorized Official

Name: BOBBY ISMAIL
Title: PRESIDENT
Phone: (209) 353-1988

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist	225100000X	Primary

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