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1982126728
SKYFALL PHYSICAL THERAPY
LOS ANGELES, CA
NPI
1982126728
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Entity Type
Organization
Authorized Contact
THERESA KETTERHAGEN
President
310-743-6649
Organization Subpart ?
No
Primary Taxonomy
225100000X Physical Therapist
Enumeration Date
2017-07-13
Last Update Date
2021-04-16
Business Address
SKYFALL PHYSICAL THERAPY
11677 SAN VICENTE BLVD STE 207
LOS ANGELES, CA 90049-5128
Phone number: 310-743-6649
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Mailing Address
SKYFALL PHYSICAL THERAPY
PO BOX 491471
LOS ANGELES, CA 90049-9471
Phone number: 310-743-6649
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