Individual
THALASSA AMBER KETTERING
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2400 W ACACIA AVE, HEMET, CA 92545-3743
(951) 766-5116
Mailing address
739 FLOWER ST, BEAUMONT, CA 92223-7172
(951) 766-5116
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
AT6703
CA
Other
Enumeration date
08/12/2022
Last updated
08/12/2022
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