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1659681997
STEPHEN GROSSERODE
LOS ANGELES, CA
NPI
1659681997
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
2251X0800X Physical Therapist, Orthopedic
(Licence: CA 36953)
Enumeration Date
2010-10-20
Last Update Date
2013-03-19
Business Address
-- STEPHEN GROSSERODE DPT
488 S SAN VICENTE BLVD
LOS ANGELES, CA 90048-4107
Phone number: 323-655-9055
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Mailing Address
-- STEPHEN GROSSERODE DPT
808 4TH ST APT 212
SANTA MONICA, CA 90403-1229
Phone number:
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