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Individual

MS. VIVIAN GAYLE EISENSTADT

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
M.A.P.T.,O.C.S.

Contact information

Practice address
8818 SATURN ST, LOS ANGELES, CA 90035-3320
(310) 623-4444
(310) 623-4455
Mailing address
8816 SATURN ST, LOS ANGELES, CA 90035-3320
(310) 623-4444
(310) 623-4455

Taxonomy

Speciality
Code
Description
License number
State
2251X0800X
Orthopedic Physical Therapist
Primary
PT25506
CA

Other

Enumeration date
09/13/2006
Last updated
07/08/2007
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