Individual
MICHELLE SUSANNE GILES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
8282 WHITE OAK AVE STE 107, RANCHO CUCAMONGA, CA 91730-7681
(909) 222-2745
Mailing address
8282 WHITE OAK AVE STE 107, RANCHO CUCAMONGA, CA 91730-7681
(909) 222-2745
Taxonomy
Speciality
Code
Description
License number
State
2251P0200X
Pediatric Physical Therapist
Primary
304667
CA
Other
Enumeration date
09/18/2023
Last updated
09/18/2023
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