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Christian Lama Medina Physical Therapy, INC.

Physical Therapist in Artesia, CA. Organization (NPI-2).

NPI number1720175011
StatusActive
Last updated in NPPESSep 12, 2008

Details

NPI
1720175011
Entity type
Organization (NPI-2)
Legal business name
Christian Lama Medina Physical Therapy, INC.
Organization subpart
No
Enumeration date
Oct 6, 2006
Last updated
Sep 12, 2008

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
225100000X Physical TherapistPT29198CAYes

Practice location

18300 Gridley Rd Ste 301
Artesia, CA 90701-5401

Phone 562-924-0934

Mailing address

18300 Gridley Rd Ste 301
Artesia, CA 90701-5401

Phone 562-924-0934

Authorized official

Christian Lama Medina
President
5629240934

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