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Lori Rubenstein Fazzio, PT
Specialist in Los Angeles, California
NPI 1427129642

Lori Rubenstein Fazzio is a Specialist based in Los Angeles, CA. Lori Rubenstein Fazzio practices in Los Angeles, CA and has the professional credentials of PT. The NPI Number for Lori Rubenstein Fazzio is 1427129642 and holds a License No. PT 14694 (California).

The current practice location address for Lori Rubenstein Fazzio is 11835 W Olympic Blvd, Los Angeles, CA and can be reached out via phone at 310-401-6410 and via fax at 310-312-3637.

Location: 11835 W Olympic Blvd, Los Angeles, CA, 90064-6428
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1427129642
Provider Name
Lori Rubenstein Fazzio
Credential
PT
Provider Entity Type
Individual
Gender
Female
Address
11835 W Olympic Blvd, Los Angeles, CA, 90064-6428
Phone Number
310-401-6410
Fax Number
310-312-3637
Provider Enumeration Date
11/10/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
WPT14694A 01 CA MEDICARE PTAN
W16543 01 CA MEDICARE CORPORATION GROUP PTAN
institution
Provider Business Practice Location Address Details
Address
11835 W Olympic Blvd
City
Los Angeles
State
California
Zip
90064-5001
Phone Number
310-401-6410
Fax Number
310-312-3637
person
Provider Business Mailing Address Details
Address
11835 W Olympic Blvd
City
Los Angeles
State
California
Zip
90064-5001
Phone Number
310-401-6410
Fax Number
310-312-3637
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
174400000X
License No.
PT 14694 (California)
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
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