Phase IV
Phase IV is a Physical Therapist in Santa Monica, California. Licensed in California. Registered with an NPI since 2007.
- Licensed in
- CA
- In the registry since
- 2007
Practice location Address checks out
1544 20th StSanta Monica, CA 90404
Phone: (310) 582-8212
Fax: (310) 582-8842
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Physical Therapist (primary) | Taxonomy 225100000X · Licence PT 10374 (CA) |
|---|
Record details
| NPI number | 1861605032 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Robert Forster — Director · (310) 582-8212 |
| NPI enumerated | May 7, 2007 |
| Last updated in NPPES | August 22, 2020 |
| Mailing address | 427 Wilshire Blvd, Santa Monica, CA 90401 |
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