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Individual

BETTINA KATHLEEN SHOCKLEY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PT

Contact information

Practice address
26357 MCBEAN PKWY, STE 220, SANTA CLARITA, CA 91355
(661) 254-0077
(661) 254-2788
Mailing address
19510 VENTURA BLVD, STE 106, TARZANA, CA 91356-2969
(818) 996-1725
(818) 996-0210

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT23022
CA

Other

Enumeration date
11/10/2005
Last updated
04/21/2014
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