Individual
ANDREA OWENS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
6080 CENTER DR, 6TH FLOOR SUITE # 639, LOS ANGELES, CA 90045-9205
(888) 859-0145
Mailing address
PO BOX 1295, VENICE, CA 90294-1295
(888) 859-0145
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA49913
CA
Other
Enumeration date
04/24/2021
Last updated
12/06/2022
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