Individual
CHARLA DIONISIO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
801 CORPORATE CENTER DR, SUITE #130, POMONA, CA 91768-2628
(909) 706-4404
Mailing address
24431 DEEPSPRINGS DR, DIAMOND BAR, CA 91765-1875
(626) 643-1466
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
11074
CA
Other
Enumeration date
09/09/2015
Last updated
09/09/2015
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