Most Relevant Information
Provider Data
| NPI Number: | 1003469149 |
| Provider Name: | BRIAN WOHLGEMUTH |
| Entity Type: | Individual |
| Taxonomy Code: | 225200000X |
| Specialty: | Physical Therapy Assistant |
| License Number: | A-1149 |
Most Important Dates
| Enumeration Date: | 07/18/2019 |
| Last Updated: | 07/18/2019 |
Provider Practice Location
2929 WAVERLY DR APT 318
LOS ANGELES
CA
900394111
Practice Location Phone/Fax
| Phone: | 3239869999 |
| Fax: |
Provider Mailing Location
2929 WAVERLY DR APT 318
LOS ANGELES
CA
900394111
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |