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Individual

CARINA ESCUDERO TESTA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
DPT

Contact information

Practice address
1035 AVIATION BLVD, HERMOSA BEACH, CA 90254-4023
(310) 937-2323
(310) 937-3399
Mailing address
1035 AVIATION BLVD, HERMOSA BEACH, CA 90254-4023
(310) 937-2323
(310) 937-3399

Taxonomy

Speciality
Code
Description
License number
State
2251X0800X
Orthopedic Physical Therapist
Primary
PT21285
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
PT21285
PT LICENSE
CA
Enumeration date
03/16/2007
Last updated
11/25/2015
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