Individual
AILEEN S REPUYAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
2018 HART CT, LANCASTER, CA 93536-6714
(661) 435-7008
Mailing address
2018 HART CT, LANCASTER, CA 93536-6714
(661) 435-7008
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
26631
CA
Other
Enumeration date
04/17/2008
Last updated
04/17/2008
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