Individual
EPHRAIM DOLZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
1464 MADERA RD STE I-1, SIMI VALLEY, CA 93065-3077
(805) 306-1622
(805) 306-1611
Mailing address
23100 AVENUE SAN LUIS APT 177, WOODLAND HILLS, CA 91364-1021
(818) 746-7238
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
52617
CA
Other
Enumeration date
08/07/2023
Last updated
08/07/2023
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