Individual
BRENDA CAPUA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
938 LUTHER DR, SPRING VALLEY, CA 91977-5262
(619) 474-6741
Mailing address
938 LUTHER DR, SPRING VALLEY, CA 91977-5262
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
10516
CA
Other
Enumeration date
01/23/2015
Last updated
01/23/2015
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