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1790326791
REUEL TIZABI
GARDENA, CA
NPI
1790326791
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: CA PT297064)
Enumeration Date
2019-10-01
Last Update Date
2019-10-01
Business Address
Dr. REUEL TIZABI PT, DPT
16630 S BROADWAY
GARDENA, CA 90248-2716
Phone number: 310-768-8155
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Mailing Address
Dr. REUEL TIZABI PT, DPT
13212 SERPENTINE WAY
SILVER SPRING, MD 20904-5345
Phone number: 240-994-4596
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