Individual
MR. JOSHUA SHRIVASTAVA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MA, PTA, ATC, CSCS
Contact information
Practice address
25512 GLORIOSA DR, MISSION VIEJO, CA 92691-4644
(818) 624-6162
Mailing address
25512 GLORIOSA DR, MISSION VIEJO, CA 92691-4644
(818) 624-6162
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
AT 10372
CA
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
02/16/2010
Last updated
02/19/2014
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