Individual
ALAN DE VERA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT, DPT
Contact information
Practice address
890 SHASTA AVE, MORRO BAY, CA 93442-1933
(805) 772-4325
(805) 772-2886
Mailing address
408 HIGUERA ST STE 200, SAN LUIS OBISPO, CA 93401-6135
(805) 788-0805
(805) 788-0845
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT302453
CA
Other
Enumeration date
08/09/2022
Last updated
08/16/2023
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