FAIRY EDADES, P.T.A.

Physical Therapy Assistant

Active Individual
NPI: 1679690564

Practice Address

10400 ARROW RTE APT V5
Rancho Cucamonga, CA 91730

Phone: (909) 948-0879

Specialties

Specialty Code Primary License
Physical Therapy Assistant 225200000X Yes AT8356 (CA)

Frequently Asked Questions

NPI 1679690564 is the National Provider Identifier for FAIRY EDADES, P.T.A., a Physical Therapy Assistant provider located in Rancho Cucamonga, CA. This NPI was enumerated on March 23, 2007.
FAIRY EDADES, P.T.A. practices at 10400 ARROW RTE APT V5, Rancho Cucamonga, CA 91730.

Quick Facts

NPI
1679690564
Type
Individual
Enumerated
Mar 23, 2007
Last Updated
Jul 8, 2007

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