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Individual

THERESA RAGLAND

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
4220 KATELLA AVE, LOS ALAMITOS, CA 90720-3511
(562) 342-9994
(562) 342-9484
Mailing address
4220 KATELLA AVE, LOS ALAMITOS, CA 90720-3511
(562) 342-9994
(562) 342-9484

Taxonomy

Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
48667
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
PTA48667
STATE PTA LICENSE NUMBER
CA
Enumeration date
04/19/2017
Last updated
04/19/2017
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