CHAD D UNDERWOOD

HUNTINGTON BEACH, CA
NPI1366934648
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy225200000X Physical Therapy Assistant
(Licence: CA  10761)
Enumeration Date2018-06-03
Last Update Date2018-06-03
Business Address
CHAD D UNDERWOOD PTA
19531 BEACH BLVD
HUNTINGTON BEACH, CA 92648-2902
Phone number: 714-960-7995
Mailing Address
CHAD D UNDERWOOD PTA
4715 LARWIN AVE
CYPRESS, CA 90630-3512
Phone number: 562-822-9680