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Individual

ALEKSANDR ZHIDETSKIY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
DPT

Contact information

Practice address
355 CORONADO AVE, APT 17, LONG BEACH, CA 90814-2671
(562) 761-9942
Mailing address
355 CORONADO AVE, APT 17, LONG BEACH, CA 90814-2671
(562) 761-9942

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
292371
CA

Other

Enumeration date
01/25/2017
Last updated
01/25/2017
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