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NPI Code Detail

MEDICARE: DR. SASHA MARIE SPEER DPT

MEDICARE: DR. SASHA MARIE SPEER DPT
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
1208100000XPhysical Medicine & Rehabilitation Physician36334CA

General Provider Information

NPI Number : 1932363140
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. SASHA MARIE SPEER DPT
Provider Business Mailing Address
First Line : 2046 HILLHURST AVE # 156
Second Line :
City : LOS ANGELES
State : CA
Zip : 90027-2719
Country : US
Telephone Number : 424-214-9647
Fax Number :
Provider Business Practice Location Address
First Line : 8929 S SEPULVEDA BLVD STE 412
Second Line :
City : LOS ANGELES
State : CA
Zip : 90045-3634
Country : US
Telephone Number : 310-505-6096
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/16/2008
Last Update Date : 01/10/2024

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Directions to “ DR. SASHA MARIE SPEER DPT” Practice Location

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