Individual
CARL TORRES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1800 OLD TUSTIN AVE, SANTA ANA, CA 92705-7810
(714) 835-4900
Mailing address
4426 LOMINA AVE, LAKEWOOD, CA 90713-2543
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
48818
CA
Other
Enumeration date
08/07/2017
Last updated
08/07/2017
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