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Miss LENORA ROSE AVALOS -- pta

Individual Provider (NPI-1) Active

Physical Therapy Assistant

Provider Information

NPI Number
1659512374
Provider Type
Individual Provider (NPI-1)
Credentials
pta
Status
Active

Contact & Location

Address
3439 NE SANDY BLVD 629, PORTLAND, OR, 972321959
Phone
(858) 699-8237

Specialties & Taxonomies

Physical Therapy Assistant Primary License: CA #8311
Physical Therapy Assistant License: FL #pta 21117

All Addresses

MAILING

1224 EAGLE DR

WINDSOR, CA, 954929797

(858) 699-8237

LOCATION

3439 NE SANDY BLVD 629

PORTLAND, OR, 972321959

(858) 699-8237