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1801330022
THEODOR LORENZ BOTONES
ANAHEIM, CA
NPI
1801330022
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: CA PTA48378)
Enumeration Date
2016-12-07
Last Update Date
2016-12-07
Business Address
-- THEODOR LORENZ BOTONES
215 N STATE COLLEGE BLVD SUITE G
ANAHEIM, CA 92806-2913
Phone number: 714-999-6596
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Mailing Address
-- THEODOR LORENZ BOTONES
13532 CARAVEL PL
CERRITOS, CA 90703-6321
Phone number: 562-716-9845
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