Individual
VICTORIA REYNOSA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
10515 BALBOA BLVD STE 140, GRANADA HILLS, CA 91344-6350
(818) 363-0339
Mailing address
716 IMOGEN AVE APT 5, LOS ANGELES, CA 90026-3501
(323) 621-8807
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
52835
CA
Other
Enumeration date
06/25/2024
Last updated
06/25/2024
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