Individual
RESHMABANU MOMIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
215 N STATE COLLEGE BLVD STE G, ANAHEIM, CA 92806-2932
(714) 999-6596
Mailing address
2841 E LINCOLN AVE APT 231, ANAHEIM, CA 92806-4022
(619) 200-6992
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
48361
CA
Other
Enumeration date
11/29/2016
Last updated
11/29/2016
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