Individual
DR. STEPHEN GIBBS PAULSETH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT DPT SCS ATC
Contact information
Practice address
1950 CENTURY PARK E, LOS ANGELES, CA 90067-1705
(310) 286-0447
Mailing address
1950 CENTURY PARK E, LOS ANGELES, CA 90067-1705
(310) 286-0447
Taxonomy
Speciality
Code
Description
License number
State
2251S0007X
Sports Physical Therapist
Primary
PT12029
CA
Other
Enumeration date
09/20/2006
Last updated
07/08/2007
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