Individual
ELIZABETH VARGHESE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2586 BUTHMANN AVE, TRACY, CA 95376-2165
(209) 832-2273
Mailing address
783 N SAN MARCOS DR, MOUNTAIN HOUSE, CA 95391-1324
(510) 449-1847
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA49688
CA
Other
Enumeration date
05/30/2019
Last updated
05/30/2019
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