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1225594815
PHZIO NEW JERSEY, LLC
LOS ANGELES, CA
NPI
1225594815
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Entity Type
Organization
Authorized Contact
DARWIN FOGT
President
310-722-6574
Organization Subpart ?
No
Primary Taxonomy
261QP2000X Clinic/Center, Physical Therapy
Enumeration Date
2019-02-19
Last Update Date
2019-02-19
Business Address
PHZIO NEW JERSEY, LLC
2019 CLYDE AVE
LOS ANGELES, CA 90016-1012
Phone number: 310-722-6574
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Mailing Address
PHZIO NEW JERSEY, LLC
2019 CLYDE AVE
LOS ANGELES, CA 90016-1012
Phone number: 310-722-6574
Copy
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