Individual
MR. JOSHUA PETER AUGUSTO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OTR
Contact information
Practice address
1212 N CALIFORNIA ST, STOCKTON, CA 95202-1552
(209) 468-8660
Mailing address
2329 CALIFORNIA ST, ESCALON, CA 95320-2070
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
7056
CA
Other
Enumeration date
03/29/2007
Last updated
07/08/2007
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