Individual
VANESSA WARRIOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
980 ROOSEVELT, SUITE 100, IRVINE, CA 92620-3672
(949) 636-5816
Mailing address
24191 GRAYSTON DR, LAKE FOREST, CA 92630-3839
(949) 636-5816
Taxonomy
Speciality
Code
Description
License number
State
2251P0200X
Pediatric Physical Therapist
Primary
29457
CA
Other
Enumeration date
01/12/2011
Last updated
04/29/2013
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