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1134285919
WITAYA MATHIYAKOM
LOS ANGELES, CA
NPI
1134285919
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
225100000X Physical Therapist
(Licence: CA PT 19386)
Enumeration Date
2006-12-28
Last Update Date
2007-07-08
Business Address
-- WITAYA MATHIYAKOM PhD, PT
11301 WILSHIRE BLVD
LOS ANGELES, CA 90073-1003
Phone number: 310-478-3711
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Mailing Address
-- WITAYA MATHIYAKOM PhD, PT
5338 HARTWICK ST
LOS ANGELES, CA 90041-1517
Phone number:
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