PETER WIBISONO

WOODLAND HILLS, CA
NPI1366654469
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy225100000X Physical Therapist
(Licence: CA  26160)
Enumeration Date2007-05-03
Last Update Date2022-01-13
Business Address
PETER WIBISONO PT
5601 DE SOTO AVE
WOODLAND HILLS, CA 91367-6701
Phone number: 818-719-2773
Mailing Address
PETER WIBISONO PT
1526 N EDGEMONT ST
LOS ANGELES, CA 90027-5260
Phone number: 323-783-8070
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