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Individual

NICOLE DESIREE OCHOA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
PTA

Contact information

Practice address
14001 RAMONA BLVD STE E, BALDWIN PARK, CA 91706-3232
(626) 941-2559
(626) 364-7760
Mailing address
523 TOCINO DR, DUARTE, CA 91010-1445
(626) 506-1763

Taxonomy

Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
50396
CA

Other

Enumeration date
02/27/2023
Last updated
02/27/2023
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