Individual
MRS. ELENA J JUAREZ-WILSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
511 W VISALIA RD, EXETER, CA 93221-1019
(559) 592-7117
(559) 592-7112
Mailing address
511 W VISALIA RD, EXETER, CA 93221-1019
(559) 592-7117
(559) 592-7112
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
AT10027
CA
Other
Enumeration date
09/12/2013
Last updated
09/12/2013
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