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1366654469
PETER WIBISONO
WOODLAND HILLS, CA
NPI
1366654469
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: CA 26160)
Enumeration Date
2007-05-03
Last Update Date
2022-01-13
Business Address
PETER WIBISONO PT
5601 DE SOTO AVE
WOODLAND HILLS, CA 91367-6701
Phone number: 818-719-2773
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Mailing Address
PETER WIBISONO PT
1526 N EDGEMONT ST
LOS ANGELES, CA 90027-5260
Phone number: 323-783-8070
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