Individual
GINA MARIA WOMACK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
1570 E. F STREET # N, OAKDALE, CA 95361
(209) 322-2140
(209) 322-2142
Mailing address
4318 SPYRES WAY, MODESTO, CA 95356
(209) 576-0710
(209) 576-0910
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
AT5663
CA
Other
Enumeration date
06/25/2014
Last updated
06/25/2014
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