Individual
ANTHONY PORTILLO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PT, DPT, CSCS
Contact information
Practice address
100 N BARRANCA ST STE 920, WEST COVINA, CA 91791-1654
(626) 263-6469
Mailing address
1348 N ALDENVILLE AVE, COVINA, CA 91722-1522
(626) 315-3789
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
303237
CA
Other
Enumeration date
11/16/2022
Last updated
11/06/2023
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