Individual
CHAD D UNDERWOOD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
19531 BEACH BLVD, HUNTINGTON BEACH, CA 92648-2902
(714) 960-7995
Mailing address
4715 LARWIN AVE, CYPRESS, CA 90630-3512
(562) 822-9680
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
10761
CA
Other
Enumeration date
06/03/2018
Last updated
06/03/2018
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