KAIWIT LORTEERAPONG

NEWPORT BEACH, CA
NPI1669140414
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy225100000X Physical Therapist
(Licence: CA  300566)
Enumeration Date2021-09-04
Last Update Date2021-09-04
Business Address
KAIWIT LORTEERAPONG DPT
466 FLAGSHIP RD
NEWPORT BEACH, CA 92663-3635
Phone number: 949-642-8044
Mailing Address
KAIWIT LORTEERAPONG DPT
2233 OAK ST
SANTA ANA, CA 92707-2924
Phone number:
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