Individual
RITZ-ALBERT ABLAZA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
22900 RIO LOBOS RD, DIAMOND BAR, CA 91765-4401
(909) 895-7684
Mailing address
22900 RIO LOBOS RD, DIAMOND BAR, CA 91765-4401
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
AT10771
CA
Other
Enumeration date
03/18/2015
Last updated
04/20/2015
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