Individual
MICHAEL KWAN THACH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
P.T.
Contact information
Practice address
22151 CLARENDON ST, WOODLAND HILLS, CA 91367-6308
(818) 884-4810
Mailing address
22151 CLARENDON ST, WOODLAND HILLS, CA 91367-6308
(818) 884-4810
Taxonomy
Speciality
Code
Description
License number
State
2251X0800X
Orthopedic Physical Therapist
Primary
37980
CA
Other
Enumeration date
08/15/2011
Last updated
10/23/2019
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