Individual
JENNIFER TO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
7120 CORBIN AVE, RESEDA, CA 91335
(818) 881-4540
Mailing address
1402 S CALIFORNIA AVE UNIT A, MONROVIA, CA 91016-4276
(626) 235-1064
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
10980
CA
Other
Enumeration date
09/04/2019
Last updated
09/04/2019
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