Individual
MARA ELIZABETH CORTEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
3054 BEECHAM ST, NAPA, CA 94558-3006
(707) 287-2644
Mailing address
3054 BEECHAM ST, NAPA, CA 94558-3006
(707) 287-2644
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
11053
CA
Other
Enumeration date
01/02/2024
Last updated
01/02/2024
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