Raphael Grenfell, PTA
NPI #1265080147 in Menifee, California
Provider Information
- NPI Number
- 1265080147
- Entity Type
- Individual
- Name
- Raphael Grenfell, PTA
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Physical Therapy Assistant
- Credential
- PTA
- Enumeration Date
- Sep 3, 2019
- Last Updated
- Sep 3, 2019
Practice Location
- Address
- 31685 ROUGE LN
- City
- Menifee
- State
- California
- ZIP Code
- 92584-9258
- Phone
- (323) 743-5453
Specialties & Taxonomy Codes
| Specialty |
|---|
| Physical Therapy Assistant |
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