KENNETH GUSTAFSON
Restorative Service Providers in Woodland Hills, CA

License number
California AT 4143
Category
Restorative Service Providers
Type
Physical Therapy Assistant
Address
Address 2
23888 Mulholland Drive Ms #270, Woodland Hills, CA 91364
5767 W Century Blvd SUITE 400, Los Angeles, CA 90045
Phone
(818) 875-1050
(310) 301-8714
National Provider ID: 1144640723
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Personal information

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