Individual
MR. BRENT P JOSEPH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
200 MERCY CIRCLE, OCEANSIDE, CA 92055
(760) 763-6606
Mailing address
200 MERCY CIRCLE, OCEANSIDE, CA 92055
(760) 445-9443
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
28263
CA
225100000X
Physical Therapist
Primary
PT28263
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
OPT282630
BLUE SHIELD
CA
Enumeration date
06/01/2005
Last updated
03/06/2025
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