Individual
MICHAEL RAGUSA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
5310 FOUNTAIN AVE, LOS ANGELES, CA 90029-1005
(323) 461-9961
Mailing address
1717 N VERDUGO RD APT 283, GLENDALE, CA 91208-2910
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA50367
CA
Other
Enumeration date
12/12/2019
Last updated
12/12/2019
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