Individual
CHERYL E SAN AGUSTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.T.
Contact information
Practice address
11600 WILSHIRE BLVD, SUITE 522, LOS ANGELES, CA 90025-5781
(310) 477-0018
Mailing address
310 TAHITI WAY APT 218, MARINA DEL REY, CA 90292-6746
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT 17102
CA
Other
Enumeration date
05/08/2007
Last updated
07/08/2007
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