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Physical Therapist

NPI: 1013307578IndividualAccepts Medicare

Specialties, Licenses & Credentials

Physical TherapistPrimary

Physical Therapist

Code: 225100000X

40QA01529800(NJ)292002(CA)

CMS Specialties

PrimaryPHYSICAL THERAPIST IN PRIVATE PRACTICE

Education

OTHER

Class of 2013

Contact & Hours

Address: 520 S VIRGIL AVE STE 201
LOS ANGELES, CA 90020
Phone: (213) 365-0023

Location

Practice Location

520 S VIRGIL AVE STE 201, LOS ANGELES, CA

Quick Facts

NPI: 1013307578
Entity Type: Individual
Gender: Male
Medicare: Accepted
Specialties: 2
Locations: 1
Years in Practice: 13

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