Keri Pegram, PT
Physical Therapist in Los Angeles, CA. Individual provider (NPI-1).
NPI number1124308481
StatusActive
Last updated in NPPESAug 18, 2011
Details
- NPI
- 1124308481
- Entity type
- Individual (NPI-1)
- Name
- Keri Pegram
- Credential
- PT
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Aug 18, 2011
- Last updated
- Aug 18, 2011
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 225100000X | Physical Therapist | 32668 | CA | Yes |
Practice location
221 W Wood Ave4th Floor Physical Therapy
Los Angeles, CA 90095-0001
Phone 310-825-4073
Mailing address
221 W Wood Ave4th Floor Physical Therapy
Los Angeles, CA 90095-0001
Phone 310-825-4073
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