ANOCHA SUPHOL

RIVERSIDE, CA
NPI1003031899
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy2251S0007X Physical Therapist, Sports
(Licence: CA  PT27871)
Additional Taxonomies2251X0800X Physical Therapist, Orthopedic
(Licence: CA  PT27871)
Enumeration Date2007-04-16
Last Update Date2007-07-08
Business Address
-- ANOCHA SUPHOL MPT
4444 MAGNOLIA AVE
RIVERSIDE, CA 92501-4136
Phone number: 951-274-3524
Mailing Address
-- ANOCHA SUPHOL MPT
4444 MAGNOLIA AVE
RIVERSIDE, CA 92501-4136
Phone number: 951-274-3524