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1063285179
SHANT ALEXANDER MINASSIAN
SANTA MONICA, CA
NPI
1063285179
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
225100000X Physical Therapist
(Licence: CA PT304084)
Enumeration Date
2023-10-31
Last Update Date
2023-11-02
Business Address
SHANT ALEXANDER MINASSIAN PT, DPT
719 SANTA MONICA BLVD
SANTA MONICA, CA 90401-2601
Phone number: 310-260-9039
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Mailing Address
SHANT ALEXANDER MINASSIAN PT, DPT
6829 NORTHFORD DR
TUJUNGA, CA 91042-3230
Phone number: 818-852-4501
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