Individual
GINA NEWELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MPH
Contact information
Practice address
4560 SE INTERNATIONAL WAY STE 100, MILWAUKIE, OR 97222-4628
(909) 653-7202
Mailing address
5560 PEMBROKE AVE, SANTA BARBARA, CA 93111-1442
(909) 653-7202
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
6838
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
225200000X
—
CA
Enumeration date
01/25/2023
Last updated
01/25/2023
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