Registry details
Type
Individual
Primary specialty
Physical Therapist
Enumerated
Sep 22, 2020
License(s)
070024969 (IL)
Addresses on file
| Purpose | Address | City/State | Phone |
|---|---|---|---|
| MAILING | 3415 S SEPULVEDA BLVD STE 550 | Los Angeles, CA 90034-6984 | 844-414-9218 |
| LOCATION | 3415 S SEPULVEDA BLVD STE 550 | Los Angeles, CA 90034-6984 | 844-414-9218 |
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