Fairy Ancheta Edades P.T.A.

NPI 1679690564 - Physical Therapy Assistant - 225200000X

NPI Details
NPI 1679690564
Gender Female
Enumeration Date 03/23/2007
Last Updated 07/08/2007
Entity Type Individual
Active Over 9 years ago
Practice Location
10400 ARROW RTE APT V5
RANCHO CUCAMONGA CA, 91730-4782, US
Phone (909) 948-0879
Fax
Business Location
10400 ARROW RTE APT V5
RANCHO CUCAMONGA CA, 91730-4782, US
Phone (909) 948-0879
Fax
Toxanomy
Taxonomy Code 225200000X
License State California
License Number AT8356
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According to our database, Fairy Ancheta Edades P.T.A. NPI is 1679690564, taxonomy code is 225200000X and license number is AT8356, license state is located at California. Fairy Ancheta Edades P.T.A. physically located at 10400 Arrow Rte Apt V5, Rancho Cucamonga CA, 91730-4782. NPI Number Fairy Ancheta Edades P.T.A. has the Individual type.

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1679690564 NPI number is provided on an as is basis without warranty of any kind. 1679690564 is maintained by the National Plan & Provider Enumeration System. The contents of Fairy Ancheta Edades P.T.A. are for informational purposes only.