Individual
MARIA PLASENCIA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
1910 OLD TUSTIN AVE, SANTA ANA, CA 92705-7811
(714) 835-6638
Mailing address
1910 OLD TUSTIN AVE, SANTA ANA, CA 92705-7811
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
48190
CA
Other
Enumeration date
09/13/2016
Last updated
09/13/2016
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