Individual
ABEL REYES LANDA JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
12539 IMPERIAL HWY STE 201, NORWALK, CA 90650-3106
(562) 379-9541
Mailing address
14338 DISNEY AVE, NORWALK, CA 90650-5037
(562) 712-0191
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
53719
CA
Other
Enumeration date
11/01/2024
Last updated
11/01/2024
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