Individual
MRS. TRICIA AYA WONG ASHIMINE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.P.T.
Contact information
Practice address
200 W SANTA ANA BLVD, #100, SANTA ANA, CA 92701-4134
(714) 647-0300
Mailing address
24171 PAVION, MISSION VIEJO, CA 92692-2200
(949) 707-2190
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
PT29984
CA
2251P0200X
Pediatric Physical Therapist
Primary
PT29984
CA
Other
Enumeration date
07/01/2006
Last updated
07/24/2007
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