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SHANE VIDAL

Physical Therapy Assistant

NPI: 1831903905Individual

Specialties, Licenses & Credentials

Physical Therapy Assistant

Code: 225200000X

53866(CA)

Contact & Hours

Address
11260 WILBUR AVE STE 101
NORTHRIDGE, CA 91326

Quick Facts

NPI
1831903905
Entity Type
Individual
Gender
Male
Medicare
Not confirmed
Specialties
1
Locations
1

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