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Individual

MR. MARLO ACUESTA SISON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
PTA

Contact information

Practice address
20820 EARL ST, TORRANCE, CA 90503-4307
(310) 371-1228
Mailing address
23310 MARIGOLD AVE UNIT 203, TORRANCE, CA 90502-2762
(424) 772-8445

Taxonomy

Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
49744
CA

Other

Enumeration date
08/06/2019
Last updated
08/06/2019
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