Gloria Vivian Castellanos PT

NPI 1376750190 - Physical Therapist - 225100000X

NPI Details
NPI 1376750190
Gender Female
Enumeration Date 05/17/2007
Last Updated 07/08/2007
Entity Type Individual
Active Over 9 years ago
Practice Location
1200 N STATE ST
LOS ANGELES CA, 90033-1029, US
Phone (323) 226-7286
Fax (323) 226-7288
Business Location
1660 MALTMAN AVE
LOS ANGELES CA, 90026-1022, US
Phone (323) 666-8175
Fax
Toxanomy
Taxonomy Code 225100000X
License State California
License Number 13304
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According to our database, Gloria Vivian Castellanos PT NPI is 1376750190, taxonomy code is 225100000X and license number is 13304, license state is located at California. Gloria Vivian Castellanos PT physically located at 1200 N State St, Los Angeles CA, 90033-1029. NPI Number Gloria Vivian Castellanos PT has the Individual type.

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1376750190 NPI number is provided on an as is basis without warranty of any kind. 1376750190 is maintained by the National Plan & Provider Enumeration System. The contents of Gloria Vivian Castellanos PT are for informational purposes only.