Registry details
Type
Individual
Primary specialty
Physical Therapist
Enumerated
May 22, 2007
License(s)
22292 (CA)
Addresses on file
| Purpose | Address | City/State | Phone |
|---|---|---|---|
| MAILING | 428 N SAN MARINO AVE | San Gabriel, CA 91775-2914 | 626-289-2144 |
| LOCATION | 309 W BEVERLY BLVD | Montebello, CA 90640-4308 | 323-726-1222 |
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