Individual
MR. MARK CADIENTE PERALTA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.P.T
Contact information
Practice address
19755 ARBOR RIDGE DR, WALNUT, CA 91789-5315
(909) 762-1298
Mailing address
19755 ARBOR RIDGE DR, WALNUT, CA 91789-5315
(909) 762-1298
Taxonomy
Speciality
Code
Description
License number
State
2251G0304X
Geriatric Physical Therapist
Primary
38254
CA
Other
Enumeration date
10/27/2016
Last updated
10/27/2016
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