Individual
BENNETT TABARACCI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPT
Contact information
Practice address
1640 MARENGO ST STE 102, LOS ANGELES, CA 90033-1061
(323) 865-1200
Mailing address
PO BOX 31309, LOS ANGELES, CA 90031-0309
(626) 457-6601
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Enumeration date
06/01/2022
Last updated
09/22/2023
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