Individual
MR. WILMER ENCELA EMBUSCADO JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
3392 MOTOR AVE, LOS ANGELES, CA 90034-3712
(310) 742-2230
Mailing address
7120 LA TIJERA BLVD APT D102, LOS ANGELES, CA 90045-2165
(310) 866-1506
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
53952
CA
Other
Enumeration date
03/17/2025
Last updated
03/17/2025
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