CARLY PON

OAKLAND, CA
NPI1558851535
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy225200000X Physical Therapy Assistant
(Licence: CA  PT49084)
Enumeration Date2018-05-15
Last Update Date2018-05-15
Business Address
CARLY PON PTA
6116 MEDAU PL
OAKLAND, CA 94611-2809
Phone number: 510-339-2116
Mailing Address
CARLY PON PTA
6116 MEDAU PLACE
OAKLAND, CA 94602-2809
Phone number: 510-339-2116
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