Individual
MS. CHARISSE KRISTINE P VASQUEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RPT
Contact information
Practice address
14148 MAGNOLIA BLVD, STE 105 AQUATIC PHYSICAL THERAPY AND REHAB, SHERMAN OAKS, CA 91423
(818) 784-3838
(818) 784-3803
Mailing address
14610 DELANO ST APT 110, VAN NUYS, CA 91411-2861
(818) 448-1178
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT32570
CA
Other
Enumeration date
08/30/2006
Last updated
08/30/2007
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