MISS Edelisa Rose Rustia Episcope, PHYSICAL THERAPIST

NPI #1104466325 in Studio City, California

Provider Information

NPI Number: 1104466325
Entity Type: Individual
Name: MISS Edelisa Rose Rustia Episcope, PHYSICAL THERAPIST
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physical Therapist
Credential: PHYSICAL THERAPIST
Enumeration Date: Jan 15, 2020
Last Updated: Feb 25, 2021

Practice Location

Address: 11441 VENTURA BLVD
City: Studio City
State: California
ZIP Code: 91604-3143
Phone: (818) 980-8200

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist	225100000X	Primary

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