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1235460767
THERESA KETTERHAGEN
LOS ANGELES, CA
NPI
1235460767
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
225100000X Physical Therapist
(Licence: CA PT12185)
Enumeration Date
2010-01-22
Last Update Date
2021-04-16
Business Address
THERESA KETTERHAGEN PT
11677 SAN VICENTE BLVD STE 207
LOS ANGELES, CA 90049-5128
Phone number: 310-743-6649
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Mailing Address
THERESA KETTERHAGEN PT
PO BOX 491471
LOS ANGELES, CA 90049-9471
Phone number: 310-743-6649
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