Individual
LAURELL MAURO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
2240 E GONZALES RD, STE. 260, OXNARD, CA 93036-8210
(805) 981-5223
Mailing address
7033 EL MALABAR DR, VENTURA, CA 93003-1405
Taxonomy
Speciality
Code
Description
License number
State
2251P0200X
Pediatric Physical Therapist
Primary
PT17440
CA
Other
Enumeration date
08/19/2006
Last updated
07/08/2007
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