Individual
GINA LYNN ROSS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
27702 CROWN VALLEY PKWY, D-4 #442, LADERA RANCH, CA 92694-0608
(949) 374-2395
(949) 481-8682
Mailing address
27702 CROWN VALLEY PARKWAY, D-4 #442, LADERA RANCH, CA 92694
(949) 374-2395
(949) 481-8682
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
AT6114
CA
Other
Enumeration date
09/30/2008
Last updated
10/01/2008
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