Individual
ADRIENNE TELEMAQUE
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
1450 CLOVERFIELD BLVD, SANTA MONICA, CA 90404
(310) 828-6584
(310) 453-3373
Mailing address
1450 CLOVERFIELD BLVD, SANTA MONICA, CA 90404
(310) 828-6584
(310) 453-3373
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT15905
CA
Other
Enumeration date
05/19/2006
Last updated
07/08/2007
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