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NPI Code Detail

MEDICARE: FERN ELSTER TOBIN PT

MEDICARE: FERN ELSTER TOBIN PT
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 TherapistPT27937CA

General Provider Information

NPI Number : 1710489950
Entity Type Code : Individual
Provider Name (Legal Business Name) : FERN ELSTER TOBIN PT
Provider Business Mailing Address
First Line : 11257 ORVILLE ST
Second Line :
City : CULVER CITY
State : CA
Zip : 90230-5334
Country : US
Telephone Number : 310-614-5513
Fax Number :
Provider Business Practice Location Address
First Line : 8167 W 3RD ST
Second Line :
City : LOS ANGELES
State : CA
Zip : 90048-4314
Country : US
Telephone Number : 310-614-5513
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/04/2018
Last Update Date : 03/04/2018

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Directions to “ FERN ELSTER TOBIN PT” Practice Location

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