TIMOTHY GAGAN

LOS ANGELES, CA
NPI1386005809
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy225200000X Physical Therapy Assistant
(Licence: CA  10870)
Enumeration Date2016-03-10
Last Update Date2016-03-10
Business Address
-- TIMOTHY GAGAN PTA
533 S FAIRFAX AVE
LOS ANGELES, CA 90036-3129
Phone number: 323-930-4815
Mailing Address
-- TIMOTHY GAGAN PTA
3176 ATWATER AVE
LOS ANGELES, CA 90039-2404
Phone number:
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