Provider First Line Business Practice Location Address:
9700 DE SOTO AVENUE
Provider Second Line Business Practice Location Address:
ATTN: DR. CHRISTIAN HENNINGSEN, PT, DPT
Provider Business Practice Location Address City Name:
CHATSWORTH
Provider Business Practice Location Address State Name:
CA
Provider Business Practice Location Address Postal Code:
91311
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
818-882-8100
Provider Business Practice Location Address Fax Number:
818-700-8255
Provider Enumeration Date:
09/19/2018