Individual
MS. RUBY FAITH OVERTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
6250 EL CAMINO REAL, CARLSBAD, CA 92009-1603
(760) 476-2900
(760) 940-4007
Mailing address
2360 PASEO DE LAURA UNIT 61, OCEANSIDE, CA 92056-3721
(714) 916-8870
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
5494
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
5494
PHYSICAL THERAPY BOARD OF CALIFORNIA
CA
Enumeration date
04/23/2011
Last updated
04/23/2011
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