Individual
VINCENT LIBONATI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
15785 LAGUNA CANYON RD, SUITE 110, IRVINE, CA 92618-3165
(949) 552-9100
Mailing address
15785 LAGUNA CANYON RD, SUITE 110, IRVINE, CA 92618-3165
Taxonomy
Speciality
Code
Description
License number
State
2251X0800X
Orthopedic Physical Therapist
Primary
291628
CA
Other
Enumeration date
09/09/2016
Last updated
09/09/2016
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