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Individual

MADELINE G STAR

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
DPT

Contact information

Practice address
8830 S SEPULVEDA BLVD, LOS ANGELES, CA 90045-4833
(310) 849-9567
Mailing address
3084 CHANCERY PL, THOUSAND OAKS, CA 91362-5350
(805) 341-7116

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
294453
CA
2251X0800X
Orthopedic Physical Therapist
Primary

Other

Enumeration date
11/15/2017
Last updated
12/06/2021
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