Individual
MS. LINETTE AINE LORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
1 CIVIC PLAZA, STE. 625, CARSON, CA 90745
(310) 549-4500
Mailing address
11510 215TH ST.. #2, LAKEWOOD, CA 90715-2091
(562) 544-5868
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
AT4881
CA
Other
Enumeration date
09/28/2010
Last updated
09/28/2010
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