Individual
MRS. AUDREY GUENTERT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
401 W ADA AVE, GLENDORA, CA 91741
(626) 335-9810
(626) 963-0270
Mailing address
401 W ADA AVE, GLENDORA, CA 91741
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
AT 4741
CA
Other
Enumeration date
06/16/2008
Last updated
06/16/2008
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