Individual
ARIEL RICHARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
525 W 121ST ST, LOS ANGELES, CA 90044-3908
(323) 303-1576
Mailing address
525 W 121ST ST, LOS ANGELES, CA 90044-3908
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
297762
CA
2255A2300X
Athletic Trainer
—
—
Other
Enumeration date
03/02/2023
Last updated
03/02/2023
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