Individual
KENNETH W CABRERA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
1634 CURTIS ST # B, LOMA LINDA, CA 92354-1706
(760) 791-5633
Mailing address
1634 CURTIS ST # B, LOMA LINDA, CA 92354-1706
(760) 791-5633
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
AT 6506
CA
Other
Enumeration date
08/14/2013
Last updated
08/14/2013
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