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Organization

FIERRO PHYSICAL THERAPY AND SPORTS PERFORMANCE INC.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
JOSEPH ANTHONY SANTISTEVAN PT, DPT (CEO)
(805) 236-1612
Entity
Organization

Contact information

Practice address
1975 MARICOPA HWY SPC 19, OJAI, CA 93023-2365
(805) 236-1612
Mailing address
1975 MARICOPA HWY SPC 19, OJAI, CA 93023-2365
(805) 236-1612

Taxonomy

Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1730606468
CA
05
1730633462
CA
Enumeration date
08/10/2022
Last updated
08/10/2022
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