Individual
MR. KRISTOFFER RYAN MAGBITANG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
1509 TOKAY ST, DELANO, CA 93215-3603
(661) 720-2100
Mailing address
2623 PRIMAVERA DR, DELANO, CA 93215-9297
(661) 370-5998
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA9212
CA
Other
Enumeration date
08/10/2018
Last updated
08/10/2018
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