Individual
EDWARD HATAMIAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1148 N . LOUISE STREET, GLENDALE, CA 91207-2305
(818) 669-2040
Mailing address
1148 N . LOUISE STREET, GLENDALE, CA 91207-2305
(818) 669-2040
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
AT 6647
CA
Other
Enumeration date
01/30/2012
Last updated
01/30/2012
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