Individual
GARRETT MASADA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPT
Contact information
Practice address
2123 FOOTHILL BLVD STE D, LA VERNE, CA 91750-2954
(909) 596-9696
Mailing address
168 LADERA ST, MONTEREY PARK, CA 91754-2125
(626) 641-0179
Taxonomy
Speciality
Code
Description
License number
State
2251X0800X
Orthopedic Physical Therapist
Primary
297619
CA
Other
Enumeration date
11/07/2019
Last updated
11/07/2019
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