Cristina Maria Provasoli, PT
NPI #1114554243 in Playa Del Rey, California
Provider Information
- NPI Number
- 1114554243
- Entity Type
- Individual
- Name
- Cristina Maria Provasoli, PT
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Physical Medicine & Rehabilitation
- Credential
- PT
- Enumeration Date
- Mar 26, 2020
- Last Updated
- Mar 26, 2020
Practice Location
- Address
- 8009 HULBERT AVE
- City
- Playa Del Rey
- State
- California
- ZIP Code
- 90293-7939
- Phone
- (310) 648-4045
Specialties & Taxonomy Codes
| Specialty |
|---|
| Physical Medicine & Rehabilitation |
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