NPI 1003137043

Amy Fose, PTA

Practitioner Physical Therapy Assistant San Diego, CA

Practice location

Address: 4655 Ruffner St STE 270, San Diego, CA 92111-2276
Phone: (800) 787-6787
Mailing address: 13000 Pepperbush Dr, Moreno Valley, CA 92553-6848

Registered specialties

Physical Therapy Assistant Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 225200000X Licence AT 6118 (CA)

Other Physical Therapy Assistant providers in California →

Registry record

NPI: 1003137043
Entity type: Individual
Sex (as registered): Female
NPI issued: 14 Jun 2010
Record last updated: 14 Jun 2010

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.