Individual
SUSANA MAGDALENO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
23456 HAWTHORNE BLVD STE 300, TORRANCE, CA 90505-4716
(310) 316-6190
(310) 540-7362
Mailing address
23456 HAWTHORNE BLVD STE 300, TORRANCE, CA 90505-4716
(310) 316-6190
(310) 540-7362
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
50194
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
50194
PHYSICAL THERAPIST ASSISTANT
CA
Enumeration date
08/20/2019
Last updated
08/20/2019
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