Individual
PENUEL ESTABILLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
16237 VENTURA BLVD, ENCINO, CA 91436-2201
(818) 995-5000
Mailing address
15034 CHASE ST, NORTH HILLS, CA 91343-6604
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
53852
CA
Other
Enumeration date
07/14/2025
Last updated
07/14/2025
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