Individual
GAYLE FENWICK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
21521 RINALDI ST, CHATSWORTH, CA 91311-1480
(818) 914-8473
(818) 700-8417
Mailing address
21521 RINALDI ST, CHATSWORTH, CA 91311-1480
(818) 914-8473
(818) 700-8417
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
AT 443
CA
Other
Enumeration date
09/05/2007
Last updated
09/05/2007
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