Individual
DARREL LAO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
615 W DUARTE RD, MONROVIA, CA 91016-4436
(626) 358-4547
Mailing address
615 W DUARTE RD, MONROVIA, CA 91016-4436
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
9741
CA
Other
Enumeration date
02/04/2016
Last updated
01/17/2024
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