Individual
PATRICK THOMAS FAUCETTE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
R.P.T.
Contact information
Practice address
6404 WILSHIRE BLVD, SUITE 750, LOS ANGELES, CA 90048-5501
(213) 598-5758
Mailing address
1569 ELLSMERE AVE, LOS ANGELES, CA 90019-3825
(213) 598-5758
(323) 935-2107
Taxonomy
Speciality
Code
Description
License number
State
2251X0800X
Orthopedic Physical Therapist
Primary
PT17206
CA
Other
Enumeration date
12/22/2009
Last updated
12/22/2009
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