Individual
MS. ELISSA R. RYNEARSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT, DPT
Contact information
Practice address
15805 S BUDLONG AVE, GARDENA, CA 90247-4303
(310) 327-1758
Mailing address
20911 CATAMARAN LN, HUNTINGTON BEACH, CA 92646-5517
(714) 595-9246
Taxonomy
Speciality
Code
Description
License number
State
2251P0200X
Pediatric Physical Therapist
Primary
PT35066
CA
Other
Enumeration date
02/09/2010
Last updated
10/17/2014
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