Registry details
Type
Individual
Primary specialty
Physical Therapist
Enumerated
May 19, 2022
License(s)
302115 (CA)
Addresses on file
| Purpose | Address | City/State | Phone |
|---|---|---|---|
| MAILING | 126 VIA BUENA VENTURA | Redondo Beach, CA 90277-5805 | |
| LOCATION | 1500 ROSECRANS AVE | Manhattan Beach, CA 90266-3763 | 310-643-9401 |
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