Individual
SELENA SOUTH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4168 AVENIDA SEVILLA, CYPRESS, CA 90630-3414
(714) 657-6577
Mailing address
4168 AVENIDA SEVILLA, CYPRESS, CA 90630-3414
(714) 657-6577
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
54430
CA
Other
Enumeration date
01/05/2026
Last updated
01/05/2026
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