KEANU ANDICO

RIVERSIDE, CA
NPI1376212704
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy225200000X Physical Therapy Assistant
Enumeration Date2021-09-09
Last Update Date2021-09-09
Business Address
KEANU ANDICO PT
6177 RIVER CREST DR STE A
RIVERSIDE, CA 92507-0728
Phone number: 951-653-4480
Mailing Address
KEANU ANDICO PT
6177 RIVER CREST DR STE A
RIVERSIDE, CA 92507-0728
Phone number: 951-653-4480
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