Individual
ANTHONY MONTOYA VELAZQUEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
215 N STATE COLLEGE BLVD, ANAHEIM, CA 92806-2913
(714) 999-6596
Mailing address
14511 PERILLA AVE, PARAMOUNT, CA 90723-3625
(562) 777-4475
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
11178
CA
Other
Enumeration date
03/09/2016
Last updated
03/09/2016
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