Individual
KENNETH KOEHLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
3392 MOTOR AVE, LOS ANGELES, CA 90034-3712
(310) 742-2230
Mailing address
3392 MOTOR AVE, LOS ANGELES, CA 90034-3712
(310) 742-2230
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
51732
CA
Other
Enumeration date
09/30/2024
Last updated
09/30/2024
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