Individual
ELLEN ROTH CHAPMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
6400 LAUREL CANYON BLVD STE 600, NORTH HOLLYWOOD, CA 91606-1568
(818) 760-0501
Mailing address
6400 LAUREL CANYON BLVD STE 600, NORTH HOLLYWOOD, CA 91606-1568
(818) 760-0501
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
PT22913
CA
Other
Enumeration date
01/30/2010
Last updated
01/30/2010
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