DANIEL RAUL MIRANDA

WEST COVINA, CA
NPI1144861360
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy225200000X Physical Therapy Assistant
(Licence: CA  49819)
Enumeration Date2019-09-30
Last Update Date2019-09-30
Business Address
DANIEL RAUL MIRANDA PTA
855 N LARK ELLEN AVE STE L
WEST COVINA, CA 91791-1099
Phone number: 626-727-6282
Mailing Address
DANIEL RAUL MIRANDA PTA
12007 FIDEL AVE
WHITTIER, CA 90605-3810
Phone number: 562-907-8176