Individual
MR. JOE DEJESUS PADILLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
1873 KNOXVILLE AVE, LONG BEACH, CA 90815-3438
(714) 633-3568
(714) 633-1608
Mailing address
1873 KNOXVILLE AVE, LONG BEACH, CA 90815-3438
(714) 633-3568
(714) 633-1607
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
3922
CA
Other
Enumeration date
06/09/2008
Last updated
06/09/2008
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