Individual
ANGELA SANDRA LEGASPI FERNANDO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.T.
Contact information
Practice address
16042 VOSE ST, VAN NUYS, CA 91406-4945
(818) 322-8509
Mailing address
1812 W BURBANK BLVD # 967, BURBANK, CA 91506-1315
(818) 322-8509
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
36495
CA
Other
Enumeration date
01/15/2013
Last updated
09/19/2022
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