Individual
BRENDA CARRUTH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RPT
Contact information
Practice address
2801 ATLANTIC AVE, LONG BEACH, CA 90806-1701
(562) 933-4011
Mailing address
7201 MONTEREY LN, LA PALMA, CA 90623-1143
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT16922
CA
Other
Enumeration date
05/08/2020
Last updated
05/08/2020
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