Individual
TRISHA HOOPER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
653 CAMINO DE LOS MARES STE 110, SAN CLEMENTE, CA 92673-2808
(949) 496-0122
Mailing address
163 W AVENIDA ALESSANDRO, SAN CLEMENTE, CA 92672-4332
(949) 973-0854
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
50118
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
50118
PHYSICAL THERAPY ASSISTANT LICENSE
CA
Enumeration date
08/05/2019
Last updated
08/05/2019
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