Individual
BRANDON OSCAR VILLALOBOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT, DPT
Contact information
Practice address
15373 INNOVATION DR STE 220, SAN DIEGO, CA 92128-3425
(858) 400-8281
Mailing address
8615 ROBLES DR UNIT G, SAN DIEGO, CA 92119-1454
(661) 319-7777
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
306434
CA
Other
Enumeration date
08/09/2024
Last updated
08/09/2024
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