Individual
MR. LARRY FURRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
19531 BEACH BLVD, HUNTINGTON BEACH, CA 92648-2902
(714) 960-7995
(714) 960-1884
Mailing address
19531 BEACH BLVD, HUNTINGTON BEACH, CA 92648-2902
(714) 960-7995
(714) 960-1884
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
AT 2369
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
AT2369
CA PT BOARD
CA
Enumeration date
04/13/2007
Last updated
10/05/2007
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