Individual
ANDREW JOHN RAYMOND
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
837 S FAIR OAKS AVE # 102, PASADENA, CA 91105-2628
(626) 795-0282
(626) 792-0682
Mailing address
6544 GREELEY ST, TUJUNGA, CA 91042-2818
(818) 437-1409
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
51176
CA
Other
Enumeration date
07/21/2021
Last updated
07/21/2021
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