Individual
PETER CHANSACK SUVUNNACHUEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
740 S PLACENTIA AVE STE 100, PLACENTIA, CA 92870-6832
(714) 646-8319
(714) 646-8320
Mailing address
740 S PLACENTIA AVE STE 100, PLACENTIA, CA 92870-6832
(714) 646-8319
(714) 646-8320
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA48815
CA
Other
Enumeration date
01/05/2018
Last updated
01/05/2018
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