Individual
MISS CLARISSA TORRES CRUZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
P.T.A.
Contact information
Practice address
9700 DE SOTO AVE, CHATSWORTH, CA 91311-4409
(818) 882-8100
Mailing address
14634 GAULT ST, #3, VAN NUYS, CA 91405-3049
(818) 908-1153
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
AT 3825
CA
Other
Enumeration date
08/05/2006
Last updated
07/08/2007
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