Individual
KEITH WILLIAM REGULA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
40 CENTERPOINTE DR, LA PALMA, CA 90623-1028
(714) 522-8020
Mailing address
2220 E CHAPMAN AVE UNIT 49, FULLERTON, CA 92831-4200
(714) 603-1886
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
9240
CA
Other
Enumeration date
09/26/2024
Last updated
09/26/2024
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