Individual
ERICO RETUYA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
1009 PASEO ENTRADA, CHULA VISTA, CA 91910-6724
(858) 229-1809
Mailing address
1009 PASEO ENTRADA, CHULA VISTA, CA 91910-6724
(858) 229-1809
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
10309
CA
Other
Enumeration date
11/27/2016
Last updated
11/27/2016
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