Individual
BRIAN THIO
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
886 MAGNOLIA AVE, SUITE 100, CORONA, CA 92879-3128
(951) 340-3402
(951) 340-3416
Mailing address
PO BOX 870, MURRIETA, CA 92564-0870
(951) 340-3402
(951) 340-3416
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT27597
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0206698
WA DEPT OF LABOR
WA
01
—
OPT275970
BLUE SHIELD
CA
01
—
P00213740
RAILROAD MEDICARE
—
Enumeration date
12/03/2005
Last updated
07/08/2007
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