NPI 1144861360

Daniel Raul Miranda, PTA

Practitioner Physical Therapy Assistant West Covina, CA

Practice location

Address: 855 N Lark Ellen Ave STE L, West Covina, CA 91791-1099
Phone: (626) 727-6282
Fax: (909) 992-3543
Mailing address: 12007 Fidel Ave, Whittier, CA 90605-3810

Registered specialties

Physical Therapy Assistant Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 225200000X Licence 49819 (CA)

Other Physical Therapy Assistant providers in California →

Registry record

NPI: 1144861360
Entity type: Individual
Sex (as registered): Male
NPI issued: 30 Sep 2019
Record last updated: 30 Sep 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.