Mark Contreras, PT
Physical Therapist, Orthopedic in Covina, CA. Individual provider (NPI-1).
NPI number1790366409
StatusActive
Last updated in NPPESNov 12, 2021
Details
- NPI
- 1790366409
- Entity type
- Individual (NPI-1)
- Name
- Mark Contreras
- Credential
- PT
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Apr 15, 2021
- Certification date
- Nov 12, 2021
- Last updated
- Nov 12, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 2251X0800X | Physical Therapist, Orthopedic | 300078 | CA | Yes |
Practice location
210 W College StCovina, CA 91723-1902
Phone 626-967-7833 · Fax 626-859-2633
Mailing address
210 W College StCovina, CA 91723-1902
Phone 626-967-7833 · Fax 626-859-2633
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