Individual
MRS. NIDHI JAJOO MISTRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT, PCS
Contact information
Practice address
4650 W SUNSET BLVD, MS 56, PHYSICAL THERAPY, LOS ANGELES, CA 90027-6062
(323) 669-2118
Mailing address
310 N LUCERNE BLVD, LOS ANGELES, CA 90004-3016
(323) 462-0533
Taxonomy
Speciality
Code
Description
License number
State
2251P0200X
Pediatric Physical Therapist
Primary
PT27564
CA
Other
Enumeration date
03/02/2007
Last updated
07/08/2007
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