Individual
ALISA KOKANOUTRANON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
3251 W 6TH ST STE 401, LOS ANGELES, CA 90020-5029
(310) 954-9614
Mailing address
3251 W 6TH ST STE 401, LOS ANGELES, CA 90020-5029
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
298749
CA
Other
Enumeration date
09/10/2020
Last updated
12/27/2021
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