NPI 1043777212
Matthew Redfern, PTA
Practice location
- Address
- 1027 N Harbor Blvd, Fullerton, CA 92832
- Phone
- (714) 870-8478
- Mailing address
- 1027 N Harbor Blvd, Fullerton, CA 92832-1361
Registered specialties
Physical Therapy Assistant
Primary
Registry record
- NPI
- 1043777212
- Entity type
- Individual
- Sex (as registered)
- Male
- NPI issued
- 25 Feb 2019
- Record last updated
- 25 Feb 2019
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.