Individual
MICHAEL ROBERT KADOLPH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
P.T.A.
Contact information
Practice address
16311 E ORANGE HILL CT, LA PUENTE, CA 91744-2349
(626) 264-3600
Mailing address
16311 E ORANGE HILL CT, LA PUENTE, CA 91744-2349
(626) 264-3600
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
10590
CA
Other
Enumeration date
11/11/2014
Last updated
11/11/2014
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