Mary Genesis Tagorda Ritumban, P.T.A.

NPI #1780996876 in Yucaipa, California

Provider Information

NPI Number: 1780996876
Entity Type: Individual
Name: Mary Genesis Tagorda Ritumban, P.T.A.
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physical Therapy Assistant
Credential: P.T.A.
Enumeration Date: Jul 6, 2010
Last Updated: Jul 6, 2010

Practice Location

Address: 33920 OLD TRAIL DR
City: Yucaipa
State: California
ZIP Code: 92399-6977
Phone: (909) 570-9353

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapy Assistant	225200000X	Primary

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