Registry details
Type
Individual
Primary specialty
Physical Therapist
Enumerated
Feb 13, 2022
License(s)
PT019662 (OH), 305952 (CA)
Addresses on file
| Purpose | Address | City/State | Phone |
|---|---|---|---|
| LOCATION | 1111 N BRAND BLVD STE J&K | Glendale, CA 91202-3070 | 330-581-4455 |
| MAILING | 1111 N BRAND BLVD STE J&K | Glendale, CA 91202-3070 | 330-581-4455 |
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