Individual
SHANI RONIT ELBOGEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.T., D.P.T.
Contact information
Practice address
6315 ARIZONA PL, SUITE A, LOS ANGELES, CA 90045-1252
(310) 337-7115
(310) 216-6153
Mailing address
6315 ARIZONA PL, SUITE A, LOS ANGELES, CA 90045-1252
(310) 337-7115
(310) 216-6153
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
35947
CA
2251P0200X
Pediatric Physical Therapist
Primary
35947
CA
Other
Enumeration date
03/26/2010
Last updated
03/26/2010
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