Individual
MR. PATRICK CAPISTRANO GREGORIO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RECREATION THERAPIST
Contact information
Practice address
16111 PLUMMER ST, RT117, SEPULVEDA, CA 91343-2036
(818) 891-7711
(818) 895-5883
Mailing address
16111 PLUMMER ST, RT117, SEPULVEDA, CA 91343-2036
(818) 891-7711
(818) 895-5883
Taxonomy
Speciality
Code
Description
License number
State
225800000X
Recreation Therapist
Primary
—
—
Other
Enumeration date
11/01/2006
Last updated
07/08/2007
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