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Individual

KYLE ANGUSTIA

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PTA

Contact information

Practice address
4955 VAN NUYS BLVD STE 317, SHERMAN OAKS, CA 91403-1821
(818) 990-9535
(818) 990-9546
Mailing address
25115 AVENUE STANFORD STE B135, VALENCIA, CA 91355-1290
(661) 250-9940
(661) 250-9959

Taxonomy

Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
51820
CA

Other

Enumeration date
04/22/2022
Last updated
04/22/2022
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