Individual
JOHN LANDEENE MEYER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DPT, OCS
Contact information
Practice address
8830 S SEPULVEDA BLVD, LOS ANGELES, CA 90045-4833
(213) 725-3043
(310) 626-9880
Mailing address
330 33RD ST, HERMOSA BEACH, CA 90254-2155
(213) 725-3043
(310) 626-9880
Taxonomy
Speciality
Code
Description
License number
State
2251S0007X
Sports Physical Therapist
23612
CA
2251X0800X
Orthopedic Physical Therapist
Primary
23612
CA
Other
Enumeration date
12/02/2011
Last updated
12/02/2011
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