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NPI Code Detail

MEDICARE: TOMAS ERMIAS ABRAHAM RPT

MEDICARE:   TOMAS ERMIAS ABRAHAM  RPT
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1225100000XPhysical TherapistPT27774CA

General Provider Information

NPI Number : 1023119278
Entity Type Code : Individual
Provider Name (Legal Business Name) : TOMAS ERMIAS ABRAHAM RPT
Provider Business Mailing Address
First Line : 10021 TABOR ST
Second Line : #215
City : LOS ANGELES
State : CA
Zip : 90034-4973
Country : US
Telephone Number : 877-400-0084
Fax Number : 877-400-0084
Provider Business Practice Location Address
First Line : 326 N SOTO ST
Second Line :
City : LOS ANGELES
State : CA
Zip : 90033-1815
Country : US
Telephone Number : 877-400-0084
Fax Number : 877-400-0084
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/26/2006
Last Update Date : 10/09/2012

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Directions to “ TOMAS ERMIAS ABRAHAM RPT” Practice Location

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