Individual
MINNIE FORTE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
11266 CORSICA CT, RANCHO CUCAMONGA, CA 91730-7441
(909) 717-0816
Mailing address
11266 CORSICA CT, RANCHO CUCAMONGA, CA 91730-7441
(909) 717-0816
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
AT4760
CA
Other
Enumeration date
01/28/2016
Last updated
01/28/2016
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