Individual
KEVIN SANTIAGO JARAMILLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
14116 MAGNOLIA BLVD, SHERMAN OAKS, CA 91423-1119
(818) 789-3819
(818) 789-3546
Mailing address
14116 MAGNOLIA BLVD, SHERMAN OAKS, CA 91423-1119
(818) 789-3819
(818) 789-3546
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
51663
CA
Other
Enumeration date
02/18/2022
Last updated
02/18/2022
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