Individual
BRIAN WOHLGEMUTH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2929 WAVERLY DR APT 318, LOS ANGELES, CA 90039-4111
(323) 986-9999
Mailing address
2929 WAVERLY DR APT 318, LOS ANGELES, CA 90039-4111
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
A-1149
NV
Other
Enumeration date
07/18/2019
Last updated
07/18/2019
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