Individual
ALEXANDER JAY CAMARILLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPT
Contact information
Practice address
27620 LANDAU BLVD STE 3, CATHEDRAL CITY, CA 92234-5540
(760) 322-5090
(760) 322-9175
Mailing address
27620 LANDAU BLVD STE 3, CATHEDRAL CITY, CA 92234-5540
(760) 322-5090
(760) 322-9175
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT300103
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PT300103
PHYSICAL THERAPY BOARD OF CALIFORNIA
CA
Enumeration date
04/12/2021
Last updated
04/12/2021
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