Individual
CAROL BURGOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
30492 GATEWAY PL STE 201, RANCHO MISSION VIEJO, CA 92694-1899
(949) 877-7745
Mailing address
67 VIA VICINI, RANCHO SANTA MARGARITA, CA 92688-3882
(714) 757-8114
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
9519
CA
Other
Enumeration date
10/31/2024
Last updated
10/31/2024
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