Individual
MISS KATHLEEN OLIVIA LOYOLA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
210 W COLLEGE ST, COVINA, CA 91723-1902
(626) 967-7833
(626) 859-2633
Mailing address
13444 TRACY ST APT P, BALDWIN PARK, CA 91706-4768
(626) 962-1845
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
AT5902
CA
Other
Enumeration date
07/30/2006
Last updated
07/08/2007
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