Individual
PAVEL AFANASYEV
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
6265 SEPULVEDA BLVD STE 6, VAN NUYS, CA 91411-1123
(818) 528-4106
Mailing address
20607 ROSCOE BLVD UNIT G, WINNETKA, CA 91306-1759
(818) 744-2374
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
49751
CA
Other
Enumeration date
06/06/2023
Last updated
06/06/2023
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