Kenton S. Wan, D.P.T

NPI #1023413457 in Culver City, California

Provider Information

NPI Number: 1023413457
Entity Type: Individual
Name: Kenton S. Wan, D.P.T
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physical Therapist
Credential: D.P.T
Enumeration Date: Oct 28, 2014
Last Updated: Oct 28, 2014

Practice Location

Address: 3831 HUGHES AVE
Address 2: SUITE # 104
City: Culver City
State: California
ZIP Code: 90232-2751
Phone: (310) 837-9700

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist	225100000X	Primary

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