Individual
MYLA GO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
4585 N FIGUEROA ST, LOS ANGELES, CA 90065-3026
(323) 223-3441
Mailing address
2828 MANHATTAN AVE, LA CRESCENTA, CA 91214-3831
(818) 572-5447
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
9697
CA
Other
Enumeration date
01/14/2015
Last updated
01/14/2015
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