Individual
PROF. EMMANUEL AVELINO CASIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
988 WALSH AVE, SANTA CLARA, CA 95050-2649
(408) 988-6868
Mailing address
114 MONTE VERANO CT, SAN JOSE, CA 95116-2655
(408) 254-4824
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
AT 6353
CA
Other
Enumeration date
07/31/2006
Last updated
07/08/2007
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