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1205953932
ELIZA BANTOLO
LOS ANGELES, CA
NPI
1205953932
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: CA 32167)
Enumeration Date
2007-03-26
Last Update Date
2007-07-08
Business Address
-- ELIZA BANTOLO PT
6033 W CENTURY BLVD SUITE 200 & 201
LOS ANGELES, CA 90045-6410
Phone number: 615-778-4066
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Mailing Address
-- ELIZA BANTOLO PT
720 COOL SPRINGS BLVD SUITE 300
FRANKLIN, TN 37067-2626
Phone number: 615-778-4066
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