Individual
ANNABELLE DAVINA MAMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
8830 S SEPULVEDA BLVD, LOS ANGELES, CA 90045-4833
(310) 666-9003
Mailing address
1850 MANGO WAY, LOS ANGELES, CA 90049-2204
(310) 409-7283
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
41599
CA
Other
Enumeration date
03/05/2019
Last updated
03/05/2019
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