Individual
IRIANNY GUZMAN IBARRA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
3980 FAIRCROSS PL UNIT 26, SAN DIEGO, CA 92115-7501
(786) 514-5805
Mailing address
3980 FAIRCROSS PL UNIT 26, SAN DIEGO, CA 92115-7501
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
51209
CA
Other
Enumeration date
04/13/2026
Last updated
04/13/2026
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