EMMANUEL LICUP

BURBANK, CA
NPI1215679352
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy225100000X Physical Therapist
(Licence: CA  301922)
Enumeration Date2022-04-09
Last Update Date2022-04-09
Business Address
EMMANUEL LICUP PT, DPT
2550 N HOLLYWOOD WAY STE 100
BURBANK, CA 91505-5015
Phone number: 818-524-3730
Mailing Address
EMMANUEL LICUP PT, DPT
701 N YUCCA RIDGE RD
GLENDORA, CA 91741-1884
Phone number:
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