Individual
FERNANDO ESCOBAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
646 MIRA MAR AVE, LONG BEACH, CA 90814-1620
(562) 569-9863
Mailing address
646 MIRA MAR AVE, LONG BEACH, CA 90814-1620
(562) 569-9863
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
AT 5735
CA
Other
Enumeration date
03/15/2011
Last updated
03/15/2011
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