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Mrs. Angelina Lee Jedlicka, PT
Specialist in Los Angeles, California
NPI 1730386129

Angelina Lee Jedlicka is a Specialist based in Burbank, CA. Angelina Lee Jedlicka practices in Los Angeles, CA and has the professional credentials of PT. The NPI Number for Angelina Lee Jedlicka is 1730386129 and holds a License No. PT11250 (California).

The current practice location address for Angelina Lee Jedlicka is 1336 N Edgemont St, Los Angeles, CA and can be reached out via phone at 323-783-5499.

Location: 1336 N Edgemont St, Los Angeles, CA, 91504-1600
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1730386129
Provider Name
Angelina Lee Jedlicka
Credential
PT
Provider Entity Type
Individual
Gender
Female
Address
1336 N Edgemont St, Los Angeles, CA, 91504-1600
Phone Number
323-783-5499
Fax Number
Provider Enumeration Date
06/28/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
PT11250 01 CA PHYSICAL THERAPIST
institution
Provider Business Practice Location Address Details
Address
1336 N Edgemont St
City
Los Angeles
State
California
Zip
90027-5912
Phone Number
323-783-5499
Fax Number
person
Provider Business Mailing Address Details
Address
1336 N Edgemont St
City
Los Angeles
State
California
Zip
90027-5912
Phone Number
323-783-5499
Fax Number
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
174400000X
License No.
PT11250 (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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