Registry details
Type
Individual
Primary specialty
Physical Therapist
Enumerated
Dec 18, 2006
License(s)
19995 (CA)
Addresses on file
| Purpose | Address | City/State | Phone |
|---|---|---|---|
| MAILING | 8 NUTMEG ST | Rancho Santa Margarita, CA 92688-1217 | 949-770-1911 |
| LOCATION | 113 WATERWORKS WAY #230 | Irvine, CA 92618-3167 | 949-770-1911 |
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