Registry details
Type
Individual
Primary specialty
Physical Therapist
Enumerated
Oct 17, 2006
License(s)
22286 (CA)
Addresses on file
| Purpose | Address | City/State | Phone |
|---|---|---|---|
| LOCATION | 1017 S FAIR OAKS AVE | Pasadena, CA 91105-2621 | 626-403-6200 |
| MAILING | 1017 S FAIR OAKS AVE | Pasadena, CA 91105-2621 | 626-403-6200 |
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