Individual
ALEC BALFOUR MACDONALD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PTALA
Contact information
Practice address
2814 CAMINO DOS RIOS STE 406, NEWBURY PARK, CA 91320-1156
(805) 375-1461
(805) 498-7613
Mailing address
2814 CAMINO DOS RIOS STE 406, NEWBURY PARK, CA 91320-1156
(805) 375-1461
(805) 498-7613
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
AT5701
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
AT5701
P.T.A. LICENSE
CA
Enumeration date
09/25/2006
Last updated
07/08/2007
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