Kevin Wayne Spangenberg DPT

NPI 1740435080 - Physical Therapist - 225100000X

NPI Details
NPI 1740435080
Gender Male
Enumeration Date 12/01/2008
Last Updated 08/26/2015
Entity Type Individual
Active Over 8 years ago
Practice Location
6033 W CENTURY BLVD
SUITE 200
LOS ANGELES CA, 90045-6410, US
Phone (310) 258-0684
Fax
Business Location
8180 MANITOBA ST
UNIT 145
PLAYA DEL REY CA, 90293-8644, US
Phone (804) 691-3698
Fax
Toxanomy
Taxonomy Code 225100000X
License State California
License Number 35126
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According to our database, Kevin Wayne Spangenberg DPT NPI is 1740435080, taxonomy code is 225100000X and license number is 35126, license state is located at California. Kevin Wayne Spangenberg DPT physically located at 6033 W Century Blvd, Los Angeles CA, 90045-6410. NPI Number Kevin Wayne Spangenberg DPT has the Individual type.

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1740435080 NPI number is provided on an as is basis without warranty of any kind. 1740435080 is maintained by the National Plan & Provider Enumeration System. The contents of Kevin Wayne Spangenberg DPT are for informational purposes only.