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Individual

JUSTIN PATRICK AGUILAR

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PTA

Contact information

Practice address
9080 IRVINE CENTER DR, IRVINE, CA 92618-4658
(949) 540-5641
Mailing address
9080 IRVINE CENTER DR, IRVINE, CA 92618-4658
(949) 540-5641

Taxonomy

Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
52853
CA

Other

Enumeration date
10/16/2023
Last updated
10/16/2023
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