Individual
LILIANA GOMEZ GARZA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT, DPT
Contact information
Practice address
10431 COMMERCE ST, REDLANDS, CA 92374-0110
(909) 783-1111
Mailing address
5757 VICTORIA AVE, RIVERSIDE, CA 92506-3368
(760) 275-3546
Taxonomy
Speciality
Code
Description
License number
State
2251P0200X
Pediatric Physical Therapist
Primary
299083
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
299083
PHYSICAL THERAPY BOARD OF CALIFORNIA
CA
Enumeration date
11/08/2022
Last updated
11/08/2022
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