Individual
MADELINE ANNE KOONTZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PT, DPT
Contact information
Practice address
3460 TORRANCE BLVD STE 100, TORRANCE, CA 90503-5812
(310) 371-8555
Mailing address
3460 TORRANCE BLVD STE 100, TORRANCE, CA 90503-5812
Taxonomy
Speciality
Code
Description
License number
State
2251P0200X
Pediatric Physical Therapist
Primary
307999
CA
Other
Enumeration date
05/08/2025
Last updated
05/08/2025
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