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NPI Profile for GRATTO AQUATIC REHAB in MARINA DEL REY, CA.
General classification identifying individuals trained on specific equipment and technical procedures in one of a collection of miscellaneous healthcare disciplines.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Specialist/Technologist, Other |
246Z00000X | |||
Physical Therapy |
261QP2000X |
| NPI Number | 1578932950 |
|
| Status | Active | |
| Credentials | ||
| Entity | Individual | |
| Enumeration date | 09/16/2015 | |
| Last updated | 02/13/2019 - About 7 years ago | |
| Sole proprietor 1 | Not specified | |
| Identifiers | Not Available | |
| Hospital affiliation(s) | Not Available |
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GRATTO AQUATIC REHAB
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GRATTO AQUATIC REHAB