Individual
GREGORIO AGUILAR JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1810 KENSINGTON DR, WAUKESHA, WI 53188-5616
(262) 548-1400
Mailing address
W189N4998 CREST VIEW TER, MENOMONEE FALLS, WI 53051-6414
(773) 230-1641
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
3263-19
WI
Other
Enumeration date
06/09/2022
Last updated
06/09/2022
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