Individual
VANNESA BECERRA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
3563 N G ST, SAN BERNARDINO, CA 92405-2026
(909) 952-1655
Mailing address
3563 N G ST, SAN BERNARDINO, CA 92405-2026
(909) 952-1655
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
51711
CA
Other
Enumeration date
03/04/2022
Last updated
03/04/2022
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