Individual
BRIAN EBERITZSCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
14515 HAMLIN ST, VAN NUYS, CA 91411-1608
(818) 373-4993
Mailing address
1560 S SALTAIR AVE, APT #107, LOS ANGELES, CA 90025-2646
Taxonomy
Speciality
Code
Description
License number
State
225400000X
Rehabilitation Practitioner
Primary
—
—
Other
Enumeration date
02/09/2012
Last updated
05/08/2013
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