Individual
JAYESH MODHA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
14426 HORST AVE, NORWALK, CA 90650-4956
(562) 552-6236
Mailing address
14426 HORST AVE, NORWALK, CA 90650-4956
(562) 552-6236
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
9290
CA
Other
Enumeration date
01/03/2015
Last updated
01/03/2015
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