JARED AMGOTT-KWAN

OAKLAND, CA
NPI1861004459
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy225200000X Physical Therapy Assistant
(Licence: CA  50719)
Enumeration Date2020-08-17
Last Update Date2020-08-17
Business Address
JARED AMGOTT-KWAN PTA
6116 MEDAU PL
OAKLAND, CA 94611-2809
Phone number: 510-339-2116
Mailing Address
JARED AMGOTT-KWAN PTA
176 ATHOL AVE APT 1
OAKLAND, CA 94606-1737
Phone number: