Individual
JUSTIN ANTHONY ALEGRE ABELLANOSA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
7818 POINSETTIA DR, BUENA PARK, CA 90620-1954
(949) 629-8031
Mailing address
7818 POINSETTIA DR, BUENA PARK, CA 90620-1954
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
49348
CA
Other
Enumeration date
05/31/2018
Last updated
05/31/2018
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