NPI 1174674550

Gina Marie Ross, PTA

Practitioner Physical Therapy Assistant Laguna Hills, CA

Practice location

Address: 23521 Paseo de Valencia Suite B15, Laguna Hills, CA 92653-3107
Phone: (949) 597-0007
Fax: (949) 597-0040
Mailing address: 27381 Via Primero, Mission Viejo, CA 92692-1912

Registered specialties

Physical Therapy Assistant Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 225200000X Licence 3038 (CA)

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Registry record

NPI: 1174674550
Entity type: Individual
Sex (as registered): Female
NPI issued: 14 Jan 2007
Record last updated: 8 Jul 2007

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.