Individual
MS. VANESSA D MINER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
612 W 11TH ST, TRACY, CA 95376-3855
(209) 834-2314
(209) 834-2176
Mailing address
612 W 11TH ST, TRACY, CA 95376-3855
(209) 834-2314
(209) 834-2176
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
AT 6152
CA
Other
Enumeration date
04/04/2007
Last updated
07/08/2007
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