ERIC BUSIASHVILI

ENCINO, CA
NPI1518795764
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy225100000X Physical Therapist
(Licence: CA  306294)
Enumeration Date2024-07-22
Last Update Date2024-07-22
Business Address
ERIC BUSIASHVILI DPT
16573 VENTURA BLVD STE 5
ENCINO, CA 91436-2021
Phone number: 818-990-0868
Mailing Address
ERIC BUSIASHVILI DPT
10787 WILSHIRE BLVD APT 401
LOS ANGELES, CA 90024-7339
Phone number: 310-804-0082