Individual
STEPHANIE CULLEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
13922 CERISE AVE, HAWTHORNE, CA 90250-8688
(310) 675-3304
Mailing address
26302 MONTE VISTA AVE, LOMITA, CA 90717-3512
(310) 780-1751
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
—
—
Other
Enumeration date
06/11/2018
Last updated
06/11/2018
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