Individual
MRS. MARIA ELENA MITTELSTADT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PTA, ATC, ESWT TECH
Contact information
Practice address
10334 WISH AVE, GRANADA HILLS, CA 91344-6243
(818) 363-4090
Mailing address
10334 WISH AVE, GRANADA HILLS, CA 91344-6243
(818) 363-4090
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
AT4322
CA
Other
Enumeration date
05/22/2007
Last updated
07/08/2007
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