MICHELLE VIDAL

LOS ANGELES, CA
NPI1154790673
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy225200000X Physical Therapy Assistant
(Licence: CA  10945)
Enumeration Date2015-09-15
Last Update Date2015-09-15
Business Address
-- MICHELLE VIDAL
2265 GLOVER PL
LOS ANGELES, CA 90031-1128
Phone number: 323-679-3505
Mailing Address
-- MICHELLE VIDAL
2265 GLOVER PL
LOS ANGELES, CA 90031-1128
Phone number: