Individual
MOLLY AGRAVIADOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
20996 REDWOOD RD, CASTRO VALLEY, CA 94546-5918
(510) 537-0207
(510) 537-5819
Mailing address
20996 REDWOOD RD, CASTRO VALLEY, CA 94546-5918
(510) 537-0207
(510) 537-5819
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA48120
CA
Other
Enumeration date
10/24/2016
Last updated
10/24/2016
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