Individual
ASHLEY LAUREN AVALOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
2777 BRISTOL ST STE B, COSTA MESA, CA 92626-5997
(949) 250-1112
(949) 250-1401
Mailing address
2777 BRISTOL ST STE B, COSTA MESA, CA 92626-5997
(949) 250-1112
(949) 250-1401
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
42033
CA
Other
Enumeration date
12/09/2014
Last updated
07/28/2023
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