Individual
CASEY AVILA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
3530 LOCHINVAR AVE, SANTA CLARA, CA 95051-5108
(408) 484-1028
Mailing address
1101 S WINCHESTER BLVD STE B110, SAN JOSE, CA 95128-3914
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Enumeration date
11/11/2018
Last updated
02/24/2026
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