Individual
DEANNA ANTOINETTE DUCTOC
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, ATC, CEAS
Contact information
Practice address
8625 WOODMAN AVE, ARLETA, CA 91331-6504
(213) 200-0355
Mailing address
2408 MIDWICKHILL DR, ALHAMBRA, CA 91803-4510
(626) 487-6251
Taxonomy
Speciality
Code
Description
License number
State
2081S0010X
Sports Medicine (Physical Medicine & Rehabilitation) Physician
Primary
2000011238
CA
Other
Enumeration date
10/07/2022
Last updated
10/07/2022
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