Individual
ARIEL MARIE FORMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT, DPT
Contact information
Practice address
6400 LAUREL CANYON BLVD, SUITE 560, NORTH HOLLYWOOD, CA 91606-1571
(818) 763-0136
(818) 763-3838
Mailing address
21340 STANWELL ST, CHATSWORTH, CA 91311-2250
(818) 665-8623
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT 40806
CA
Other
Enumeration date
04/02/2014
Last updated
04/02/2014
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