Most Relevant Information
Provider Data
NPI Number: | 1003025610 |
Provider Name: | TAMRA KOESTER |
Entity Type: | Individual |
Taxonomy Code: | 225200000X |
Specialty: | Physical Therapy Assistant |
License Number: | 4851 |
Most Important Dates
Enumeration Date: | 05/21/2007 |
Last Updated: | 07/08/2007 |
Provider Practice Location
23271 VERDUGO DR
#B
LAGUNA HILLS
CA
926531347
Practice Location Phone/Fax
Phone: | 9497075555 |
Fax: |
Provider Mailing Location
768 W LAMBERT RD
#23
LA HABRA
CA
906316767
Provider Mailing Phone/Fax
Phone: | 6264848273 |
Fax: |