ERIC SODERQUIST

FULLERTON, CA
NPI1407244965
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy225200000X Physical Therapy Assistant
(Licence: CA  6265)
Enumeration Date2015-01-06
Last Update Date2015-01-06
Business Address
-- ERIC SODERQUIST
1334 CALLE GRANDE
FULLERTON, CA 92835-2855
Phone number: 714-256-0426
Mailing Address
-- ERIC SODERQUIST
1334 CALLE GRANDE
FULLERTON, CA 92835-2855
Phone number: 714-256-0426