Individual
MARISA E HENTIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT, DPT
Contact information
Practice address
1031 W 34TH ST STE 450, LOS ANGELES, CA 90089-3603
(213) 740-0215
(213) 821-1499
Mailing address
PO BOX 31309, LOS ANGELES, CA 90031-0309
(213) 740-0215
Taxonomy
Speciality
Code
Description
License number
State
2251X0800X
Orthopedic Physical Therapist
Primary
296175
CA
Other
Enumeration date
05/03/2019
Last updated
11/27/2023
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