Individual
EMILIA ALTEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
111 S HUDSON AVE, PASADENA, CA 91101-2606
(626) 683-6536
Mailing address
111 S HUDSON AVE, PASADENA, CA 91101-2606
(626) 683-6536
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
AT3997
CA
Other
Enumeration date
10/21/2021
Last updated
10/21/2021
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