Individual
LINA KHANUKAYEV
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT, DPT
Contact information
Practice address
24002 VIA FABRICANTE STE 501, MISSION VIEJO, CA 92691-3934
(949) 454-8811
Mailing address
26921 LA ALAMEDA APT 3205, MISSION VIEJO, CA 92691-7373
Taxonomy
Speciality
Code
Description
License number
State
2251X0800X
Orthopedic Physical Therapist
Primary
302607
CA
Other
Enumeration date
08/29/2022
Last updated
08/29/2022
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