Skyfall Physical Therapy
Skyfall Physical Therapy is a Physical Therapist in Los Angeles, California. Registered with an NPI since 2017.
- In the registry since
- 2017
Practice location Address checks out
11677 San Vicente Blvd Ste 207Los Angeles, CA 90049-5128
Phone: (310) 743-6649
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Physical Therapist (primary) | Taxonomy 225100000X |
|---|
Record details
| NPI number | 1982126728 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Theresa Ketterhagen — President · (310) 743-6649 |
| NPI enumerated | July 13, 2017 |
| Last updated in NPPES | April 16, 2021 |
| Certification date | April 16, 2021 |
| Mailing address | Po Box 491471, Los Angeles, CA 90049-9471 |
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