Individual
MR. JOSE GORGONIA TIU JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPT
Contact information
Practice address
4510 S EASTERN AVE STE 5, LAS VEGAS, NV 89119-6118
(702) 673-3848
Mailing address
4510 S EASTERN AVE STE 5, LAS VEGAS, NV 89119-6118
(702) 673-3848
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
38093
CA
Other
Enumeration date
11/11/2010
Last updated
01/19/2022
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