Provider Demographics
NPI:1932468956
Name:MAKING FIT FUN, INC.
Entity Type:Organization
Organization Name:MAKING FIT FUN, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHYSICAL THERAPY MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:SONDRA
Authorized Official - Middle Name:K
Authorized Official - Last Name:WYMAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:310-748-8662
Mailing Address - Street 1:1605 W REDONDO BEACH BLVD
Mailing Address - Street 2:STE. 201
Mailing Address - City:GARDENA
Mailing Address - State:CA
Mailing Address - Zip Code:90247-3227
Mailing Address - Country:US
Mailing Address - Phone:310-748-8662
Mailing Address - Fax:
Practice Address - Street 1:1605 W REDONDO BEACH BLVD
Practice Address - Street 2:STE. 201
Practice Address - City:GARDENA
Practice Address - State:CA
Practice Address - Zip Code:90247-3227
Practice Address - Country:US
Practice Address - Phone:310-748-8662
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-05-11
Last Update Date:2012-05-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAPT7801174H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174H00000XOther Service ProvidersHealth EducatorGroup - Multi-Specialty