Individual
OLIVER FERNANDO DE LA PAZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
7601 IMPERIAL HWY, DOWNEY, CA 90242-3456
(562) 385-6237
Mailing address
7601 IMPERIAL HWY, DOWNEY, CA 90242-3456
(562) 385-6237
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
AT4304
CA
Other
Enumeration date
03/26/2019
Last updated
03/26/2019
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