Individual
JOSEPH RENTERIA-VIZCARRA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
111 S HUDSON AVE, PASADENA, CA 91101-2606
(626) 683-8536
Mailing address
111 S HUDSON AVE, PASADENA, CA 91101-2606
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
52905
CA
Other
Enumeration date
03/18/2025
Last updated
03/18/2025
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