Individual
MRS. MARIANA PACHECO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHYSICAL THERAPY ASS
Contact information
Practice address
8433 OTIS ST APT C, SOUTH GATE, CA 90280-2595
(323) 202-0597
Mailing address
8433 OTIS ST APT C, SOUTH GATE, CA 90280-2595
(323) 202-0597
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
AT2458
CA
Other
Enumeration date
01/18/2011
Last updated
01/18/2011
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