Individual
MR. AARON JOHN NEIBEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
P.T.A., CSCS
Contact information
Practice address
455 OCONNOR DR, SAN JOSE, CA 95128-1633
(408) 293-7767
Mailing address
1958 KIRBY WAY, SAN JOSE, CA 95124-1324
(408) 313-4846
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
AT 5227
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
200013310
CSCS
CA
01
—
AT 5227
P.T. ASSISTANT
CA
Enumeration date
03/07/2007
Last updated
07/08/2007
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