Individual
EVER EDIZANDER GALLARDO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
18411 CLARK ST STE 302, TARZANA, CA 91356-3541
(818) 501-7276
Mailing address
8706 LEHIGH AVE, SUN VALLEY, CA 91352-2742
(213) 247-3274
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
51571
CA
Other
Enumeration date
03/14/2022
Last updated
03/14/2022
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