Individual
FRAYNE GABRIELL BORJA YNECO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT, DPT
Contact information
Practice address
177 N REINO RD, NEWBURY PARK, CA 91320-3710
(805) 586-0290
Mailing address
9951 MISSION HILLS ESTATES CT, MISSION HILLS, CA 91345-3169
(818) 823-0440
Taxonomy
Speciality
Code
Description
License number
State
2251S0007X
Sports Physical Therapist
302858
CA
2251S0007X
Sports Physical Therapist
—
—
2251X0800X
Orthopedic Physical Therapist
Primary
302858
CA
2251X0800X
Orthopedic Physical Therapist
—
—
Other
Enumeration date
08/09/2022
Last updated
02/09/2023
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