Individual
DEVALLEE PEDROGO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
22342 EL PASEO STE G, RANCHO SANTA MARGARITA, CA 92688-5804
(949) 876-5329
Mailing address
26655 AVENIDA DESEO, MISSION VIEJO, CA 92691-4301
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
53093
CA
Other
Enumeration date
01/24/2024
Last updated
01/24/2024
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