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Individual

DENITA VARGHESE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
915 CRENSHAW BLVD, LOS ANGELES, CA 90019-1938
(323) 937-5466
Mailing address
915 CRENSHAW BLVD, LOS ANGELES, CA 90019-1938
(323) 937-5466

Taxonomy

Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA48754
CA

Other

Enumeration date
11/08/2017
Last updated
11/08/2017
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