Individual
MRS. LISA GAETANA SHERWOOD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
25405 HANCOCK AVE STE 200, MURRIETA, CA 92562-5978
(951) 506-3001
(951) 506-3002
Mailing address
30249 SIERRA MADRE DR, TEMECULA, CA 92591-7311
(951) 699-3340
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA 6807
CA
Other
Enumeration date
02/15/2007
Last updated
07/08/2007
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