Wibisono, Peter

Wibisono, Peter is an individual health care provider with primary practice located at 5601 De Soto Ave , Woodland Hills CA 91367-6701. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as his primary health care specialty. Wibisono, Peter can be contacted via phone (818) 719-2773.

Contact Information

Primary practice address
5601 De Soto Ave Woodland Hills CA 91367-6701
Phone: (818) 719-2773
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X 26160 California

Profile Details

NPI number 1366654469
LBN Legal business name Wibisono, Peter
Credentials Physical Therapist (PT)
Entity Individual
Sole proprietor 1 No
Enumeration date May 3rd, 2007
Last updated Jan 13th, 2022 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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