Individual
KEVIN MAI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1000 N CENTRAL AVE, GLENDALE, CA 91202-2957
(818) 243-8422
Mailing address
1000 N CENTRAL AVE, GLENDALE, CA 91202-2957
(818) 243-8422
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA49505
CA
Other
Enumeration date
10/03/2018
Last updated
10/03/2018
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