JOHN RAY LAFORTEZA

KENNETT SQUARE, PA
NPI1497141279
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy225200000X Physical Therapy Assistant
(Licence: CA  10454)
Enumeration Date2015-04-08
Last Update Date2015-04-08
Business Address
MR. JOHN RAY LAFORTEZA
101 E STATE ST
KENNETT SQUARE, PA 19348-3109
Phone number: 844-399-9887
Mailing Address
MR. JOHN RAY LAFORTEZA
1311 VINCA WAY
SAN DIEGO, CA 92114-6811
Phone number: