SAN PEDRO PHYSICAL THERAPY NPI 1700032455

NPI Information

SAN PEDRO PHYSICAL THERAPY is a specialist in San Pedro, CA. The provider is an individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. SAN PEDRO PHYSICAL THERAPY NPI is 1700032455. The provider is registered as an organization entity type and is a multiple single specialty group.
The provider Other Name Is Mark Perez, M.d..

The provider's business location address is:

1366 W 7TH ST
SUITE 4-B
SAN PEDRO, CA
ZIP 90732-500
Phone: (310) 547-2197
Fax: (310) 547-9532

The provider's authorized official is Mark Perez .
The authorized official title is Supervisor and has the following contact phone number (310) 547-2197.

The enumeration date for this NPI number is 8/13/2008 and was last updated on 3/22/2011.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

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