Individual
TRICIA FAELDAN SUAREZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
P.T.A.
Contact information
Practice address
9338 MILLIONAIRE LN, RIVERSIDE, CA 92508-9360
(909) 856-0296
Mailing address
9338 MILLIONAIRE LN, RIVERSIDE, CA 92508-9360
(909) 856-0296
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
AT 9516
CA
Other
Enumeration date
09/27/2011
Last updated
09/27/2011
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