Individual
KATHERINE EUSTAQUIO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
17487 HURLEY ST, CITY OF INDUSTRY, CA 91744-5106
(626) 935-7723
(626) 912-0072
Mailing address
13089 PEYTON DR # C134, CHINO HILLS, CA 91709-6018
(909) 973-2546
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
AT4910
CA
Other
Enumeration date
11/16/2006
Last updated
07/08/2007
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