Individual
PEARL DIETZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5120 W GOLDLEAF CIR, SUITE 400, LOS ANGELES, CA 90056-1292
(310) 574-3733
Mailing address
1844 MIDVALE AVE # NO.5, LOS ANGELES, CA 90025-4560
(310) 475-3775
Taxonomy
Speciality
Code
Description
License number
State
2251G0304X
Geriatric Physical Therapist
Primary
PT 5617
CA
Other
Enumeration date
05/04/2007
Last updated
07/08/2007
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