Individual
OANH N NGO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT, DPT
Contact information
Practice address
3662 KATELLA AVE STE 105, LOS ALAMITOS, CA 90720-3180
(562) 799-4494
(562) 280-0304
Mailing address
3662 KATELLA AVE STE 105, LOS ALAMITOS, CA 90720-3180
(562) 799-4494
(562) 280-0304
Taxonomy
Speciality
Code
Description
License number
State
2251X0800X
Orthopedic Physical Therapist
Primary
PT37168
CA
Other
Enumeration date
10/18/2010
Last updated
10/18/2010
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