Individual
MISS CHARMA RODRIGUEZ QUIROGA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.T
Contact information
Practice address
12350 DEL AMO BLVD APT 1821, LAKEWOOD, CA 90715-1721
(562) 916-4416
Mailing address
12350 DEL AMO BLVD APT 1821, LAKEWOOD, CA 90715-1721
(562) 916-4416
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT33703
CA
225100000X
Physical Therapist
PT40QA0119200
NJ
Other
Enumeration date
07/19/2007
Last updated
01/12/2015
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