Individual
LAURA MERRICK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
10082 MANZANITA DR, ALTA LOMA, CA 91737-2918
(909) 286-5507
Mailing address
10082 MANZANITA DR, ALTA LOMA, CA 91737-2918
(909) 286-5507
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
50799
CA
Other
Enumeration date
10/06/2020
Last updated
10/06/2020
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