Individual
MICHELLE MIHAE LU
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
9025 COLORADO AVE, RIVERSIDE, CA 92503-2157
(951) 688-3636
Mailing address
8508 YARROW LN, RIVERSIDE, CA 92508-2926
(951) 880-7539
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
47962
CA
Other
Enumeration date
09/23/2019
Last updated
09/23/2019
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