Individual
SUSAN AWDISHU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
18344 OXNARD ST STE 104, TARZANA, CA 91356-6760
(818) 783-4085
Mailing address
8800 ETIWANDA AVE APT 6, NORTHRIDGE, CA 91325-0901
(818) 813-1757
Taxonomy
Speciality
Code
Description
License number
State
2251X0800X
Orthopedic Physical Therapist
Primary
291953
CA
Other
Enumeration date
08/17/2017
Last updated
08/17/2017
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