Individual
MR. NEAL JAY SEVERANCE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RKT
Contact information
Practice address
16111 PLUMMER ST # 117A, NORTH HILLS, CA 91343-2036
(818) 891-7711
Mailing address
5275 MILDRED ST, SIMI VALLEY, CA 93063-4534
(805) 581-6159
(805) 306-5934
Taxonomy
Speciality
Code
Description
License number
State
226300000X
Kinesiotherapist
Primary
—
—
Other
Enumeration date
08/28/2006
Last updated
07/08/2007
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