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1245260769
GARY PEVNICK
LOS ANGELES, CA
NPI
1245260769
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: MO 00394)
Enumeration Date
2006-07-03
Last Update Date
2020-07-29
Business Address
GARY PEVNICK PT
12655 W JEFFERSON BLVD FL 4
LOS ANGELES, CA 90066-7008
Phone number: 310-907-9215
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Mailing Address
GARY PEVNICK PT
30 QUARTERDECK ST APT 3
MARINA DEL REY, CA 90292-6700
Phone number: 314-570-5153
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