Individual
MISS LENORA ROSE AVALOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
3439 NE SANDY BLVD, 629, PORTLAND, OR 97232-1959
(858) 699-8237
Mailing address
1224 EAGLE DR, WINDSOR, CA 95492-9797
(858) 699-8237
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
8311
CA
225200000X
Physical Therapy Assistant
PTA 21117
FL
Other
Enumeration date
03/09/2009
Last updated
03/09/2009
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