Individual
COLLEEN ELIZABETH MARAVILLA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RPT
Contact information
Practice address
3536 CONCOURS STE 225, ONTARIO, CA 91764-5585
(909) 944-0486
Mailing address
824 ARCADIA AVE APT 21, ARCADIA, CA 91007-7224
(909) 615-0091
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
41261
CA
Other
Enumeration date
06/09/2019
Last updated
03/20/2026
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