Individual
MR. PAUL PANGANIBAN ZACARIAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
800 E 5TH ST, ONTARIO, CA 91764-2432
(909) 984-8629
Mailing address
1378 PHILO CT, UPLAND, CA 91784-9264
(626) 374-6110
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA8124
CA
Other
Enumeration date
09/14/2020
Last updated
09/14/2020
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