Individual
MR. GUILLLERMO JOSE COVARRUBIAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
P.T.A.
Contact information
Practice address
3851 S SOTO ST, VERNON, CA 90058-1718
(323) 585-7162
(323) 282-4002
Mailing address
15222 SHADYBEND DR, HACIENDA HEIGHTS, CA 91745-2167
(562) 686-2551
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
AT6108
CA
Other
Enumeration date
08/03/2006
Last updated
07/08/2007
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