Individual
DAVID MARTIN LAFORTEZA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
16615 YORBA LINDA BLVD, YORBA LINDA, CA 92886-2046
(714) 577-0745
(714) 577-8653
Mailing address
16615 YORBA LINDA BLVD, YORBA LINDA, CA 92886-2046
(714) 577-0745
(714) 577-8653
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
AT 9615
CA
Other
Enumeration date
03/04/2015
Last updated
03/04/2015
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