Individual
LAUREN REI MIYAMOTO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
959 IRONSHOE CT, WALNUT, CA 91789-0909
(909) 260-0243
Mailing address
959 IRONSHOE CT, WALNUT, CA 91789-0909
(909) 260-0243
Taxonomy
Speciality
Code
Description
License number
State
2251X0800X
Orthopedic Physical Therapist
Primary
—
—
Other
Enumeration date
10/18/2022
Last updated
05/26/2023
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