Individual
BRIAN FIFER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
3902 GREEN AVE APT F, LOS ALAMITOS, CA 90720-3322
(562) 583-5050
Mailing address
3902 GREEN AVE APT F, LOS ALAMITOS, CA 90720-3322
(562) 583-5050
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
50781
CA
Other
Enumeration date
08/06/2021
Last updated
08/06/2021
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