Individual
JACOB SLAFFEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
12819 SHORT AVE, LOS ANGELES, CA 90066-6420
(310) 591-9030
Mailing address
12819 SHORT AVE, LOS ANGELES, CA 90066-6420
(310) 591-9030
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
4861
CA
Other
Enumeration date
06/24/2011
Last updated
06/24/2011
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