Individual
VINCENZO BELLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
885 CANARIOS CT STE 110, CHULA VISTA, CA 91910-7877
(619) 656-5102
Mailing address
885 CANARIOS CT STE 110, CHULA VISTA, CA 91910-7877
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
48844
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
48844
PTA LICENSE
CA
Enumeration date
12/13/2017
Last updated
12/13/2017
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