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ALEXANDRA REGINALDO HAMILTON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PTA

Contact information

Practice address
255 E BONITA AVE, POMONA, CA 91767-1923
(866) 724-4127
Mailing address
23502 GRAND RIM CT, DIAMOND BAR, CA 91765-2343

Taxonomy

Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
11136
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
11136
PTA
CA
Enumeration date
05/02/2017
Last updated
05/02/2017
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