Individual
AARON PUERTOLLANO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
17461 DERIAN AVE STE 114, IRVINE, CA 92614-5820
(949) 788-9236
Mailing address
39854 TANAGER TRL, MURRIETA, CA 92562-4651
Taxonomy
Speciality
Code
Description
License number
State
2251P0200X
Pediatric Physical Therapist
Primary
295924
CA
Other
Enumeration date
11/28/2018
Last updated
05/02/2024
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