Individual
DIANA GRACE CHO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
8351 BROADWAY, LEMON GROVE, CA 91945-2000
(619) 463-0294
Mailing address
517 MOONLIGHT DR, SAN MARCOS, CA 92069-2067
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA9322
CA
Other
Enumeration date
05/26/2020
Last updated
05/26/2020
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