Individual
AMY FOSE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
4655 RUFFNER ST STE 270, SAN DIEGO, CA 92111-2276
(800) 787-6787
Mailing address
13000 PEPPERBUSH DR, MORENO VALLEY, CA 92553-6848
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
AT 6118
CA
Other
Enumeration date
06/14/2010
Last updated
06/14/2010
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