WITAYA MATHIYAKOM

LOS ANGELES, CA
NPI1134285919
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy225100000X Physical Therapist
(Licence: CA  PT 19386)
Enumeration Date2006-12-28
Last Update Date2007-07-08
Business Address
-- WITAYA MATHIYAKOM PhD, PT
11301 WILSHIRE BLVD
LOS ANGELES, CA 90073-1003
Phone number: 310-478-3711
Mailing Address
-- WITAYA MATHIYAKOM PhD, PT
5338 HARTWICK ST
LOS ANGELES, CA 90041-1517
Phone number: