Individual
BLAINE AGUIAR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PT, DPT
Contact information
Practice address
255 E BONITA AVE, POMONA, CA 91767-1923
(909) 569-7733
Mailing address
1361 MARLEI RD, LA HABRA, CA 90631-2638
Taxonomy
Speciality
Code
Description
License number
State
2251S0007X
Sports Physical Therapist
Primary
PT305653
CA
Other
Enumeration date
07/10/2024
Last updated
07/31/2024
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