Individual
DEIRDRE PENDERGRASS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BA
Contact information
Practice address
3787 S VERMONT AVE, LOS ANGELES, CA 90007-4203
(323) 766-2345
(323) 766-3636
Mailing address
3673 W CHAPMAN LN, INGLEWOOD, CA 90305-2300
Taxonomy
Speciality
Code
Description
License number
State
225400000X
Rehabilitation Practitioner
Primary
—
—
Other
Enumeration date
03/07/2007
Last updated
07/08/2007
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