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Individual

ANTHONY J VENTURA JR.

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MSPT

Contact information

Practice address
101 S 1ST ST, SUITE 1800, BURBANK, CA 91502-1938
(818) 558-7252
(818) 558-7312
Mailing address
777 FLOWER ST STE A, GLENDALE, CA 91201-3000
(818) 637-2000
(818) 242-8761

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
012236
NY
225100000X
Physical Therapist
Primary
PT30445
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
PT0304450
CA
Enumeration date
01/09/2007
Last updated
09/21/2007
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