Individual
MR. ANTHONY LONGO PEAIRS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
4220 KATELLA AVE, LOS ALAMITOS, CA 90720-3511
(562) 342-9994
Mailing address
26642 MERIENDA APT 7, LAGUNA HILLS, CA 92656-3163
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
48979
CA
Other
Enumeration date
10/20/2017
Last updated
10/20/2017
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