Individual
ERIBERTO CASILLAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
ATC, CSCS
Contact information
Practice address
38397 INNOVATION CT, SUITE 106, MURRIETA, CA 92563-2630
(951) 290-8007
(951) 575-3626
Mailing address
38397 INNOVATION CT, SUITE 106, MURRIETA, CA 92563-2630
(951) 888-2323
(951) 575-3626
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
AL2230
FL
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
02/28/2007
Last updated
05/04/2017
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