Individual
CORINA MOYA TIEVES
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
2000 E CHAPMAN AVE, FULLERTON, CA 92831-4106
(714) 870-1744
Mailing address
8312 FONTAINBLEAU WAY, CYPRESS, CA 90630-2033
(714) 827-6150
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
AT 529
CA
Other
Enumeration date
06/24/2006
Last updated
07/08/2007
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