Registry details
Type
Individual
Primary specialty
Physical Therapist
Enumerated
Nov 8, 2006
License(s)
32092 (CA)
Addresses on file
| Purpose | Address | City/State | Phone |
|---|---|---|---|
| LOCATION | 28631 S WESTERN AVE STE 104A | Rancho Palos Verdes, CA 90275-0816 | 310-548-5444 |
| MAILING | 5011 MERRILL ST | Torrance, CA 90503-6859 | 310-430-3944 |
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