Individual
KELLI M BARUCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
12465 LEWIS STREET, SUITE 101, GARDEN GROVE, CA 92840-4658
(714) 703-8477
(714) 703-8157
Mailing address
12465 LEWIS STREET, SUITE 101, GARDEN GROVE, CA 92840-4658
(714) 703-8477
(714) 703-8157
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
39615
CA
2251X0800X
Orthopedic Physical Therapist
Primary
PT39615
CA
Other
Enumeration date
01/07/2013
Last updated
08/15/2018
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