JARED AMGOTT-KWAN PTA
Individual Provider (NPI-1)
Active
Physical Therapy Assistant
Provider Information
- NPI Number
1861004459- Provider Type
- Individual Provider (NPI-1)
- Credentials
- PTA
- Status
- Active
Contact & Location
- Address
- 6116 MEDAU PL, OAKLAND, CA, 946112809
- Phone
- (510) 339-2116
Specialties & Taxonomies
Physical Therapy Assistant
Primary License: CA #50719
All Addresses
MAILING
176 ATHOL AVE APT 1
OAKLAND, CA, 946061737