Individual
MR. CASEY REYES CASAOL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT, DPT
Contact information
Practice address
3030 SAWTELLE BLVD, LOS ANGELES, CA 90066-1408
(310) 390-9018
Mailing address
91 VIA CONTENTO, RANCHO SANTA MARGARITA, CA 92688-2990
(714) 462-0111
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT294414
CA
Other
Enumeration date
07/28/2020
Last updated
06/28/2023
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