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-- FAITH ISIDERIO -- PTA

Individual Provider (NPI-1) Active

Physical Therapy Assistant

Provider Information

NPI Number
1487058848
Provider Type
Individual Provider (NPI-1)
Credentials
PTA
Status
Active

Contact & Location

Address
5650 PATTI LYNN WAY, STOCKTON, CA, 95212
Phone
(209) 956-5000

Specialties & Taxonomies

Physical Therapy Assistant Primary License: CA #At8194

All Addresses

MAILING

5650 PATTI LYNN WAY

STOCKTON, CA, 952122884

(209) 956-5000

LOCATION

5650 PATTI LYNN WAY

STOCKTON, CA, 95212

(209) 956-5000