Individual
MR. HARESH P MISTRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
273 E BEVERLY BLVD, MONTEBELLO, CA 90640-3775
(323) 724-5100
Mailing address
2738 E HILLSIDE DR, WEST COVINA, CA 91791-4309
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA49184
CA
Other
Enumeration date
02/11/2020
Last updated
02/11/2020
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