Individual
ALEXEI LYAPUSTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT, DPT
Contact information
Practice address
78078 COUNTRY CLUB DR, SUITE 205, BERMUDA DUNES, CA 92203-8173
(760) 345-9934
(760) 345-3086
Mailing address
407 NINA PL, ROCKVILLE, MD 20852-4110
(240) 888-2987
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT38613
CA
Other
Enumeration date
10/11/2012
Last updated
10/11/2012
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