Mr. FRED GADEA III
Individual Provider (NPI-1)
Active
Physical Therapy Assistant
Provider Information
- NPI Number
1073736906- Provider Type
- Individual Provider (NPI-1)
- Status
- Active
Contact & Location
- Address
- 9985 SIERRA AVE, FONTANA, CA, 923356720
- Phone
- (909) 427-5000
Specialties & Taxonomies
Physical Therapy Assistant
Primary License: CA #AT 5403
All Addresses
MAILING
1415 KEYSTONE DR
SAN BERNARDINO, CA, 924075024