Individual
LAURIE ANN VANRUITEN GLENN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
23430 HAWTHORNE BLVD, TORRANCE, CA 90505-4720
(310) 465-2461
(310) 373-4686
Mailing address
23430 HAWTHORNE BLVD, TORRANCE, CA 90505-4720
(310) 465-2461
(310) 373-4686
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
AT521
CA
Other
Enumeration date
11/29/2007
Last updated
11/29/2007
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