Healthcare Provider Details

I. General information

NPI: 1477086643
Provider Name (Legal Business Name): NRP PHYSICAL THERAPY CORP.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/05/2017
Last Update Date: 04/05/2017
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6133 BRISTOL PKWY STE 200
CULVER CITY CA
90230-6670
US

IV. Provider business mailing address

6133 BRISTOL PKWY STE 200
CULVER CITY CA
90230-6670
US

V. Phone/Fax

Practice location:
  • Phone: 310-337-7600
  • Fax: 310-337-7607
Mailing address:
  • Phone: 310-337-7600
  • Fax: 310-337-7607

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QP2000X
TaxonomyPhysical Therapy Clinic/Center
License Number
License Number StateCA

VIII. Authorized Official

Name: MR. JAMES RICHARD GEORGE
Title or Position: OWNER AND THERAPIST
Credential: M.P.T
Phone: 310-337-7600