Ritz-Albert Ablaza, PTA

Individual provider Active NPI Physical Therapy Assistant · Diamond Bar, CA

NPI 1477946283 · NPPES record last updated Apr 20, 2015

Key facts

NPI
1477946283
Entity type
Individual (NPI type 1)
Primary specialty
Physical Therapy Assistant 225200000X
License
AT10771 (CA)
Practice address
22900 Rio Lobos Rd
Diamond Bar, CA 91765-4401
Phone
(909) 895-7684
NPI assigned
Mar 18, 2015
Sex
Male
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
AT10771CAMDPhysical Therapy Assistant

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Assistant 225200000X AT10771 CA Yes

Addresses

Primary practice location

22900 Rio Lobos Rd
Diamond Bar, CA 91765-4401

Mailing address

22900 Rio Lobos Rd
Diamond Bar, CA 91765-4401

Other providers in Diamond Bar, CA

All providers in Diamond Bar, CA · Physical Therapy Assistant in California

Sources for this page

Verify at the official NPI Registry.