Individual
CHRISTIAN STEVENS MIRANDA LIONGSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
1900 S LONGWOOD AVE, LOS ANGELES, CA 90016-1408
(323) 933-1560
Mailing address
1627 N NORMANDIE AVE APT 2, LOS ANGELES, CA 90027-5155
(213) 570-7333
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
295604
CA
Other
Enumeration date
03/28/2019
Last updated
03/28/2019
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