Individual
CHYNA FUSTER COTANGCO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT, DPT
Contact information
Practice address
3300 IRVINE AVE STE 130, NEWPORT BEACH, CA 92660-3119
(949) 271-0053
(949) 271-9453
Mailing address
3230 E IMPERIAL HWY STE 100, BREA, CA 92821-6735
(714) 256-5074
(714) 256-0770
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
300472
CA
Other
Enumeration date
07/21/2021
Last updated
07/21/2021
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