Individual
LOUISE JEAN CAPISTRANO RAFAEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1255 BROADWAY APT 31, CHULA VISTA, CA 91911-2958
(619) 616-3749
Mailing address
1255 BROADWAY APT 31, CHULA VISTA, CA 91911-2958
(619) 616-3749
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
50788
CA
Other
Enumeration date
10/01/2021
Last updated
10/01/2021
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