Individual
PORCHAE BRAGG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
19209 CROSSDALE AVE, CERRITOS, CA 90703-6431
(310) 892-1312
Mailing address
19209 CROSSDALE AVE, CERRITOS, CA 90703-6431
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
—
CA
Other
Enumeration date
06/25/2024
Last updated
06/26/2024
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