Individual
JUANLUIS BASILIO-ESPINAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
133 W HUNTING PARK AVE, PHILADELPHIA, PA 19140-2717
(215) 455-5370
Mailing address
133 W HUNTING PARK AVE, PHILADELPHIA, PA 19140-2717
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
TE013141
PA
Other
Enumeration date
11/08/2024
Last updated
11/08/2024
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