Individual
ALEXANDER JONATHAN ABEYTA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DPT
Contact information
Practice address
5 BON AIR RD STE 129, LARKSPUR, CA 94939-1139
(415) 924-8900
Mailing address
8259 WICKER AVE, SAINT JOHN, IN 46373-8878
(800) 341-1703
(877) 719-4609
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
304785
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
304785
PT BOARD OF CALIFORNIA
CA
Enumeration date
09/01/2023
Last updated
09/01/2023
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