Functional Rehabilitation Physical Therapy Pc

Specialty details in registry · Lakewood, CA

Call (562) 303-6366 Directions

At a glance

3300 E South St Ste 203, Lakewood, CA 90805-4589

NPPES record updated Aug 6, 2025. Public records can lag behind changes at a practice.

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Practice location

3300 E South St Ste 203
Lakewood, CA 90805-4589
Professional details: NPI, taxonomy & registry record
NPI1063083723
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Registry details

Primary taxonomy
Specialty details in registry
Taxonomy code
261QP2000X
Enumeration date
Jul 5, 2021
Record updated
Aug 6, 2025
More registry details
Provider type
Organization · Type 2
Other reported name
<UNAVAIL>

Reported taxonomies and licenses

Specialty details in registry

261QP2000X · Primary

License numbers and credentials are reported to NPPES; HCPList does not independently verify them.

Practice location

3300 E South St Ste 203
Lakewood, CA 90805-4589
Phone
(562) 303-6366
Fax
(562) 381-7764
Mailing address
3300 E SOUTH ST STE 203

LAKEWOOD, CA 908054589
Source: NPPES Source through Oct 18, 2026An NPI does not verify licensure or credentials.

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