Daniel Raul Miranda JR., PTA
NPI #1144861360 in West Covina, California
Provider Information
- NPI Number
- 1144861360
- Entity Type
- Individual
- Name
- Daniel Raul Miranda JR., PTA
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Physical Therapy Assistant
- Credential
- PTA
- Enumeration Date
- Sep 30, 2019
- Last Updated
- Sep 30, 2019
Practice Location
- Address
- 855 N LARK ELLEN AVE STE L
- City
- West Covina
- State
- California
- ZIP Code
- 91791-1099
- Phone
- (626) 727-6282
Specialties & Taxonomy Codes
| Specialty |
|---|
| Physical Therapy Assistant |
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