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Daniel Anahuac De La Rosa, PT

Physical Therapist in Covina, CA. Individual provider (NPI-1).

NPI number1700909355
StatusActive
Last updated in NPPESOct 25, 2013

Details

NPI
1700909355
Entity type
Individual (NPI-1)
Name
Daniel Anahuac De La Rosa
Credential
PT
Sex
Male
Sole proprietor
No
Enumeration date
Apr 9, 2007
Last updated
Oct 25, 2013

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
225100000X Physical TherapistPT7930CAYes

Practice location

210 West College Street
Carter Physical Therapy
Covina, CA 91723

Phone 626-967-7833 · Fax 626-859-2633

Mailing address

1810 E Linda Vista St
West Covina, CA 91791-3508

Phone 626-919-0124 · Fax 626-919-0124

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