Individual
BUENAVENTURA GAVIOLA AGRAVIADOR III
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PTLA
Contact information
Practice address
18709 FRANKFORT ST, NORTHRIDGE, CA 91324-4523
(818) 358-9992
Mailing address
18709 FRANKFORT ST, NORTHRIDGE, CA 91324-4523
(818) 358-9992
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PTLA
CA
Other
Enumeration date
08/04/2021
Last updated
08/04/2023
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