Individual
JOSHUA AUSTIN ENRIQUEZ VICTORIO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
19462 EMPTY SADDLE RD, WALNUT, CA 91789-4290
(626) 877-1664
Mailing address
19462 EMPTY SADDLE RD, WALNUT, CA 91789-4290
(626) 877-1664
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
51609
CA
Other
Enumeration date
07/15/2024
Last updated
07/15/2024
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