Individual
COREY LIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PT, DPT
Contact information
Practice address
11611 SAN VICENTE BLVD, LOS ANGELES, CA 90049-5106
(562) 833-3508
Mailing address
13163 FOUNTAIN PARK DR APT B218, LOS ANGELES, CA 90094-2418
(562) 833-3508
Taxonomy
Speciality
Code
Description
License number
State
2251X0800X
Orthopedic Physical Therapist
Primary
297526
CA
Other
Enumeration date
11/05/2019
Last updated
11/05/2019
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