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Ilene Kong, D.P.T. Valid NPI

Individual provider · Physical Therapist · Sherman Oaks, CA

NPI
1265743587
Type
Individual (Type 1)
Primary specialty
Physical Therapist
Specialty group
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy code
225100000X
License number
33614 (CA)
Sex
Female
Sole proprietor
No
Enumerated
2010-07-01
Last updated
2010-07-01
Practice location
5230 Vesper Ave Apt 6
Sherman Oaks, CA 91411-4012
(909) 763-9330

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