ETHAN EZAKI

LOS ANGELES, CA
NPI1841204484
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy225100000X Physical Therapist
(Licence: CA  28643)
Enumeration Date2006-07-28
Last Update Date2007-07-08
Business Address
-- ETHAN EZAKI
11601 WILSHIRE BLVD
LOS ANGELES, CA 90025-0509
Phone number: 310-914-4118
Mailing Address
-- ETHAN EZAKI
11601 WILSHIRE BLVD
LOS ANGELES, CA 90025-0509
Phone number: 310-914-4118
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