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RITZ-ALBERT ABLAZA PTA
>> Physical Therapy Assistant >> Respiratory, Developmental, Rehabilitative and Restorative Service ProvidersRegistrant NPI Number: 1477946283
Individual Registrant: RITZ-ALBERT ABLAZA PTA
Gender: M
Sole Proprietor
Gender: M
Sole Proprietor
Location and contact information for practice:
22900 RIO LOBOS RD DIAMOND BAR, CA 91765-4401 US
Tel: 909-895-7684 Fax: --
Tel: 909-895-7684 Fax: --
Contact information for business:
22900 RIO LOBOS RD DIAMOND BAR, CA 91765-4401 US
Tel: -- Fax: --
Tel: -- Fax: --
Registration Information:
NPI: 1477946283
Entity Type: Individual
Entity Type: Individual
Specialty information:
| Primary | Code | Category/Description | State | License Number |
|---|---|---|---|---|
| Y | 225200000X | Respiratory, Developmental, Rehabilitative and Restorative Service Providers Physical Therapy Assistant | CA | AT10771 |
Legacy codes, insurance codes and state license numbers:
| Issuer | Number | State | Type |
|---|---|---|---|
