Individual
AWSTON ALBISO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPT
Contact information
Practice address
10849 ZINFANDEL ST, RANCHO CUCAMONGA, CA 91737-3892
(909) 965-5530
Mailing address
10849 ZINFANDEL ST, RANCHO CUCAMONGA, CA 91737-3892
(909) 965-5530
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT296372
CA
Other
Enumeration date
04/09/2019
Last updated
07/14/2022
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