Individual
JOSE ACEVES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
12598 CENTRAL AVE STE 102A, CHINO, CA 91710-3530
(909) 590-7997
Mailing address
3357 HONEYBROOK WAY APT 9, ONTARIO, CA 91761-0307
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
10359
CA
Other
Enumeration date
04/24/2015
Last updated
04/24/2015
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