Individual
AILENE ANDAL JUAREZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MPT, DPT
Contact information
Practice address
4341 BIRCH ST, SUITE 102, NEWPORT BEACH, CA 92660-1924
(949) 475-1002
(949) 475-1003
Mailing address
4341 BIRCH ST, SUITE 102, NEWPORT BEACH, CA 92660-1924
(949) 475-1002
(949) 475-1003
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
29723
CA
Other
Enumeration date
01/08/2010
Last updated
01/08/2010
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