Individual
MR. JOEL CRANDALL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MST, CSCS
Contact information
Practice address
2436 FEDERAL AVE, # 1, LOS ANGELES, CA 90064-2960
(310) 395-3668
(310) 395-3668
Mailing address
6353 VICLAND PLACE, NORTH HOLLYWOOD, CA 91606
(310) 395-3668
(310) 395-3668
Taxonomy
Speciality
Code
Description
License number
State
172M00000X
Mechanotherapist
Primary
—
—
Other
Enumeration date
07/13/2007
Last updated
02/27/2012
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