Individual
ALISON WILEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3662 KATELLA AVE STE 105, LOS ALAMITOS, CA 90720-3180
(562) 799-4494
(562) 280-0304
Mailing address
5464 E 4TH ST, LONG BEACH, CA 90814-1923
(562) 756-6889
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA49342
CA
Other
Enumeration date
06/08/2018
Last updated
06/08/2018
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