Individual
MRS. SANDRA CEVALLOS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
501 S BEACH BLVD, ANAHEIM, CA 92804-1810
(715) 816-0540
Mailing address
501 S BEACH BLVD, ANAHEIM, CA 92804-1810
(715) 816-0540
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
AT1856
CA
Other
Enumeration date
01/06/2015
Last updated
01/07/2015
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