Individual
KIMBERLY T HO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
2600 S MAIN ST, CORONA, CA 92882-5941
(714) 585-2330
Mailing address
2643 DIETRICH DR, TUSTIN, CA 92782-1358
(714) 585-2330
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA6496
CA
Other
Enumeration date
12/10/2019
Last updated
12/10/2019
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