DARWIN LANCE FOGT

CULVER CITY, CA
NPI1295782894
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy225100000X Physical Therapist
(Licence: CA  PT26595)
Enumeration Date2006-05-28
Last Update Date2009-11-30
Business Address
-- DARWIN LANCE FOGT MPT
11825 MAJOR ST
CULVER CITY, CA 90230-6356
Phone number: 310-915-6100
Mailing Address
-- DARWIN LANCE FOGT MPT
322 CULVER BLVD
PLAYA DEL REY, CA 90293-7784
Phone number: 310-915-6100
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