Individual
KRISTINA MARIE LORENZO VILLARUZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
2200 E MAPLE AVE, EL SEGUNDO, CA 90245-6507
(310) 316-6190
Mailing address
17435 SARITA AVE, CANYON COUNTRY, CA 91387-3590
(661) 993-0090
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
49468
CA
Other
Enumeration date
09/05/2018
Last updated
09/05/2018
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