Individual provider · Type 1 NPI

Angelina Lee Jedlicka, PT

Specialist · Los Angeles, CA

NPI number 1730386129 Active

Practice location

1336 N Edgemont St
Los Angeles, CA 90027-5912

Mailing address

3314 Durham Ct
Burbank, CA 91504-1600

Specialties and licenses

TaxonomyCodeLicense
Specialist Primary 174400000XPT11250 (CA)

Specialist: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

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About NPI 1730386129

Angelina Lee Jedlicka, PT's National Provider Identifier is 1730386129, issued on Jun 28, 2007. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Los Angeles, CA. The record was last updated on Dec 1, 2021.