Individual
MR. JOSE ANTONIO RENTERIA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
6220 S ALASKA ST, TACOMA, WA 98408-1317
(253) 476-5300
Mailing address
7515 LAKEWOOD DR W APT G2, LAKEWOOD, WA 98499-8678
(714) 390-6174
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
P1 60304014
WA
Other
Enumeration date
10/30/2012
Last updated
10/30/2012
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