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ALEXANDER JAY CAMARILLO DPT
>> Physical Therapist >> Respiratory, Developmental, Rehabilitative and Restorative Service ProvidersRegistrant NPI Number: 1619557782
Individual Registrant: ALEXANDER JAY CAMARILLO DPT
Gender: M
Not Sole Proprietor
Gender: M
Not Sole Proprietor
Location and contact information for practice:
27620 LANDAU BLVD STE 3 CATHEDRAL CITY, CA 92234-5540 US
Tel: 760-322-5090 Fax: 760-322-9175
Tel: 760-322-5090 Fax: 760-322-9175
Contact information for business:
27620 LANDAU BLVD STE 3 CATHEDRAL CITY, CA 92234-5540 US
Tel: 760-322-5090 Fax: 760-322-9175
Tel: 760-322-5090 Fax: 760-322-9175
Registration Information:
NPI: 1619557782
Entity Type: Individual
Entity Type: Individual
Specialty information:
| Primary | Code | Category/Description | State | License Number |
|---|---|---|---|---|
| Y | 225100000X | Respiratory, Developmental, Rehabilitative and Restorative Service Providers Physical Therapist | CA | PT300103 |
Legacy codes, insurance codes and state license numbers:
| Issuer | Number | State | Type |
|---|---|---|---|
| PHYSICAL THERAPY BOARD OF CALIFORNIA | PT300103 | CA | 01 |
