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KATHERINE EUSTAQUIO PTA

>> Physical Therapy Assistant >> Respiratory, Developmental, Rehabilitative and Restorative Service Providers

Registrant NPI Number: 1760555650

Individual Registrant:
 KATHERINE  EUSTAQUIO PTA
Gender: F
Sole Proprietor

Location and contact information for practice:
17487 HURLEY ST  CITY OF INDUSTRY, CA 91744-5106 US
Tel: 626-935-7723  Fax: 626-912-0072

Contact information for business:
13089 PEYTON DR # C134  CHINO HILLS, CA 91709-6018 US
Tel: 909-973-2546  Fax: --

Registration Information:
NPI: 1760555650
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y225200000XRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Physical Therapy Assistant
CAAT4910

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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