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Individual

KALVIN HENRY

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
30837 E THOUSAND OAKS BLVD, WESTLAKE VILLAGE, CA 91362-4039
(818) 879-2091
Mailing address
1622 LOLA WAY, OXNARD, CA 93030-5079
(805) 276-6014

Taxonomy

Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
53803
CA

Other

Enumeration date
02/06/2025
Last updated
02/06/2025
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