Individual
MRS. GINA MARIE ROSS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
23521 PASEO DE VALENCIA, SUITE B15, LAGUNA HILLS, CA 92653-3107
(949) 597-0007
(949) 597-0040
Mailing address
27381 VIA PRIMERO, MISSION VIEJO, CA 92692-1912
(949) 837-2055
(949) 837-2055
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
3038
CA
Other
Enumeration date
01/14/2007
Last updated
07/08/2007
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