Individual
EARL FRANK REBULTAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
11466 LEV AVE, MISSION HILLS, CA 91345-1229
(818) 282-0120
Mailing address
11466 LEV AVE, MISSION HILLS, CA 91345-1229
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
9587
CA
Other
Enumeration date
02/07/2022
Last updated
02/07/2022
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