Individual
MR. RICHARD ANTHONY SLAVENTA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
9040 CRIS AVE APT 7, ANAHEIM, CA 92804-5800
(714) 527-1116
Mailing address
9040 CRIS AVE APT 7, ANAHEIM, CA 92804-5800
(714) 527-1116
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
AT5850
CA
Other
Enumeration date
01/09/2011
Last updated
01/09/2011
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