Individual
MADELINE CORTEZ DE DIOS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
2070 FRANK BLONDIN LN, TRACY, CA 95377-6734
(209) 740-9378
Mailing address
2070 FRANK BLONDIN LN, TRACY, CA 95377-6734
(209) 740-9378
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
8359
CA
Other
Enumeration date
05/06/2008
Last updated
05/06/2008
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