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Contact Information

SOURCE MOBILITY INCORPORATED
5150 CANDLEWOOD ST
LAKEWOOD, CA90712-1925
 Phone: 562-534-1134
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Geriatrics

2251G0304X 65 Physical Therapist in Private Practice
 

Home Health

251E00000X A4[11] Home Health Agency
Indicates primary specialty

NPI Profile & details for SOURCE MOBILITY INCORPORATED · (Female)

NPI Number 1265147458
Status Active
Credentials
Entity Individual
Enumeration date 01/23/2023
Last updated 02/14/2023 - About 3 years ago
Sole proprietor 1 Not specified
Identifiers Not Available
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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