Individual
KENNETH GARCIA SALOMON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
11559 GWENT AVE, LOMA LINDA, CA 92354-4110
(909) 796-7955
Mailing address
11559 GWENT AVE, LOMA LINDA, CA 92354-4110
(909) 796-7955
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA50554
CA
Other
Enumeration date
06/16/2020
Last updated
06/16/2020
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