Individual
CEDRIC DACQUAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
466 FLAGSHIP RD, NEWPORT BEACH, CA 92663-3635
(949) 642-8044
Mailing address
36 WOODS TRL, IRVINE, CA 92603-0225
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
—
—
Other
Enumeration date
05/03/2019
Last updated
05/03/2019
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