Individual
KAILIE ANGUIANO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
1661 GOLDEN RAIN RD STE 401, SEAL BEACH, CA 90740-4907
(562) 795-6217
Mailing address
11651 POES ST, ANAHEIM, CA 92804-6755
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA50317
CA
Other
Enumeration date
10/24/2019
Last updated
10/24/2019
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