South Bay Sports Medicine Physical Therapy Inc.
NPI #1780770214 in Torrance, California
Provider Information
- NPI Number
- 1780770214
- Entity Type
- Organization
- Organization Name
- South Bay Sports Medicine Physical Therapy Inc.
- Primary Specialty
- Physical Therapist
- Enumeration Date
- Oct 4, 2006
- Last Updated
- Aug 22, 2020
Practice Location
- Address
- 3878 WEST CARSON STREET
- Address 2
- SUITE 100
- City
- Torrance
- State
- California
- ZIP Code
- 90503
- Phone
- (310) 543-4655
Authorized Official
- Name
- MICHAEL N FISCHVOGT, P.T.
- Title
- CORPORATION PRESIDENT/OWNER
- Phone
- (310) 543-4655
Specialties & Taxonomy Codes
| Specialty |
|---|
| Physical Therapist |
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