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Individual

MR. ALEN RICHARD OVASAPYAN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
PTA

Contact information

Practice address
13633 VICTORY BLVD, VAN NUYS, CA 91401-1735
(818) 988-7156
(818) 988-7159
Mailing address
1145 WESTERN AVE, GLENDALE, CA 91201-1807
(818) 849-0999

Taxonomy

Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
49846
CA

Other

Enumeration date
02/13/2020
Last updated
02/13/2020
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