Individual
EPHRAIM ESHETE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
4940 VAN NUYS BLVD, SHERMAN OAKS, CA 91403-1700
(818) 907-0952
Mailing address
8414 MINUET PL, PANORAMA CITY, CA 91402-3831
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
53395
CA
Other
Enumeration date
08/30/2024
Last updated
08/30/2024
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