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Individual

MISS ALYSSA MARIE EASTLAND

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
P.T.A

Contact information

Practice address
24551 RAYMOND WAY, SUITE 125, LAKE FOREST, CA 92630-4400
(949) 540-0301
Mailing address
33451 BRUSHY HOLLOW DR, YUCAIPA, CA 92399-6404
(714) 916-7482

Taxonomy

Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
10787
CA

Other

Enumeration date
03/05/2015
Last updated
03/05/2015
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