Individual
GINA HORATH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
8030 SOQUEL AVE STE 200, SANTA CRUZ, CA 95062-2096
(831) 464-8200
Mailing address
116 EFFEY ST, SANTA CRUZ, CA 95062-2455
(831) 359-0921
Taxonomy
Speciality
Code
Description
License number
State
2251X0800X
Orthopedic Physical Therapist
Primary
296964
CA
Other
Enumeration date
09/04/2019
Last updated
09/04/2019
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