Individual
TRICIA SHELTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.T.A
Contact information
Practice address
22741 LAMBERT ST, LAKE FOREST, CA 92630-1617
(949) 581-3839
(949) 454-6763
Mailing address
20 BIENVENUE DR, FOOTHILL RANCH, CA 92610-2334
(949) 454-8061
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
4822
CA
Other
Enumeration date
08/08/2006
Last updated
07/08/2007
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