Individual
MRS. MADAI CONSUELO OREGEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
3738 GUM TREE GLN, ESCONDIDO, CA 92025-7913
(760) 317-1885
Mailing address
3738 GUM TREE GLN, ESCONDIDO, CA 92025-7913
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
3722
CA
Other
Enumeration date
12/13/2012
Last updated
12/13/2012
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