Individual
TRISHA T VILLASENOR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
3200 INLAND EMPIRE BLVD, ONTARIO, CA 91764-5513
(909) 945-5011
Mailing address
2646 FOSS AVE, ARCADIA, CA 91006-4922
(626) 226-6505
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
AT8256
CA
Other
Enumeration date
07/01/2008
Last updated
07/11/2008
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