Registry details
Type
Individual
Primary specialty
Physical Therapist
Enumerated
Sep 23, 2021
License(s)
22402 (CA)
Addresses on file
| Purpose | Address | City/State | Phone |
|---|---|---|---|
| MAILING | 319 W DUARTE RD UNIT A | Monrovia, CA 91016-7477 | 626-826-1536 |
| LOCATION | 1899 N RAYMOND AVE | Pasadena, CA 91103-1733 | 626-797-2120 |
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