Individual
VEENA THERESA SANDEJAS JACILDO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
1415 W NORTH ST, 917, ANAHEIM, CA 92801-4358
(714) 398-4823
Mailing address
1415 W NORTH ST, 917, ANAHEIM, CA 92801-4358
(714) 398-4823
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
9932
CA
Other
Enumeration date
07/22/2013
Last updated
07/22/2013
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