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Individual

MISS SALLY MICHEL MORCOS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PT, DPT, PCS

Contact information

Practice address
359 E PAYSON ST, SAN DIMAS, CA 91773-2221
(909) 576-5729
Mailing address
359 E PAYSON ST, SAN DIMAS, CA 91773-2221
(909) 576-5729

Taxonomy

Speciality
Code
Description
License number
State
2251P0200X
Pediatric Physical Therapist
Primary
33049
CA

Other

Enumeration date
03/13/2007
Last updated
08/10/2016
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