Individual
DR. JULIE KRISTIN TILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT, DPT,NCS
Contact information
Practice address
1640 MARENGO ST, HRA-102, LOS ANGELES, CA 90033-1036
(323) 224-7070
(323) 224-7075
Mailing address
1640 MARENGO ST, HRA-102, LOS ANGELES, CA 90033-1036
(323) 224-7070
(323) 224-7075
Taxonomy
Speciality
Code
Description
License number
State
2251N0400X
Neurology Physical Therapist
Primary
PT23565
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PT23565
PT LICENSE
CA
Enumeration date
10/27/2011
Last updated
10/27/2011
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