Individual
MRS. MIRTHA PATRICIA LORES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
2871 W 235TH ST APT 3, TORRANCE, CA 90505-4138
(310) 901-3821
(310) 326-6452
Mailing address
2871 W 235TH ST APT 3, TORRANCE, CA 90505-4138
(310) 901-3821
(310) 326-6452
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
6669
FL
Other
Enumeration date
05/02/2007
Last updated
07/08/2007
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