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Individual

AUSTIN ALDACO

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
3800 FOOTHILL BLVD STE A, LA CRESCENTA, CA 91214-1671
(818) 369-7700
Mailing address
950 W SIERRA MADRE AVE APT 409, AZUSA, CA 91702-1869

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
303760
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
303760
BOARD OF CALIFORNIA LICENSE NUMBER
CA
Enumeration date
02/24/2023
Last updated
02/24/2023
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