Individual
MRS. PARIS SUZANNE GENIE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
2340 MEADOW GLEN DR, LA VERNE, CA 91750-1747
(909) 596-9382
Mailing address
2340 MEADOW GLEN DR, LA VERNE, CA 91750-1747
(909) 596-9382
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
4070
CA
Other
Enumeration date
02/13/2009
Last updated
02/13/2009
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