Individual
MATTHEW REDFERN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
1027 N HARBOR BLVD, FULLERTON, CA 92832
(714) 870-8478
Mailing address
1027 N HARBOR BLVD, FULLERTON, CA 92832-1361
(714) 870-8478
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
49793
—
Other
Enumeration date
02/25/2019
Last updated
02/25/2019
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