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1366934648
CHAD D UNDERWOOD
HUNTINGTON BEACH, CA
NPI
1366934648
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: CA 10761)
Enumeration Date
2018-06-03
Last Update Date
2018-06-03
Business Address
CHAD D UNDERWOOD PTA
19531 BEACH BLVD
HUNTINGTON BEACH, CA 92648-2902
Phone number: 714-960-7995
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Mailing Address
CHAD D UNDERWOOD PTA
4715 LARWIN AVE
CYPRESS, CA 90630-3512
Phone number: 562-822-9680
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