Individual
RICHARD DECENA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
3447 SOMERSET AVE, CASTRO VALLEY, CA 94546-3354
(510) 861-7120
Mailing address
3447 SOMERSET AVE, CASTRO VALLEY, CA 94546-3354
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
9472
CA
Other
Enumeration date
01/09/2019
Last updated
01/09/2019
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