Individual
ATLAS APIQUE ANG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
12903 RAMSEY DR, LA MIRADA, CA 90638-1746
(562) 296-7121
Mailing address
12903 RAMSEY DR, LA MIRADA, CA 90638-1746
(562) 296-7121
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
34881
CA
Other
Enumeration date
02/04/2019
Last updated
02/04/2019
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