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NPI Code Detail

MEDICARE: JUTTA M HANSS PT

MEDICARE: JUTTA M HANSS PT
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1225100000XPhysical Therapist14587CA

General Provider Information

NPI Number : 1730254012
Entity Type Code : Individual
Provider Name (Legal Business Name) : JUTTA M HANSS PT
Provider Business Mailing Address
First Line : 3958 BENTLEY AVE
Second Line :
City : CULVER CITY
State : CA
Zip : 90232-3961
Country : US
Telephone Number : 310-839-3353
Fax Number : 310-836-8664
Provider Business Practice Location Address
First Line : 3283 MOTOR AVE
Second Line :
City : LOS ANGELES
State : CA
Zip : 90034-3709
Country : US
Telephone Number : 310-559-6900
Fax Number : 310-836-8664
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/21/2006
Last Update Date : 07/08/2007

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Directions to “ JUTTA M HANSS PT” Practice Location

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