Individual
MISS ANDREA LYNNAE HASTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DPT, ATC
Contact information
Practice address
12465 LEWIS ST, SUITE 101, GARDEN GROVE, CA 92840-4681
(714) 703-8477
(714) 703-8157
Mailing address
12465 LEWIS ST, SUITE 101, GARDEN GROVE, CA 92840-4681
(714) 703-8477
(714) 703-8157
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT34219
CA
Other
Enumeration date
02/21/2008
Last updated
02/21/2008
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