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JOSE ACEVES PTA

>> Physical Therapy Assistant >> Respiratory, Developmental, Rehabilitative and Restorative Service Providers

Registrant NPI Number: 1063809374

Individual Registrant:
 JOSE  ACEVES PTA
Gender: M
Sole Proprietor

Location and contact information for practice:
12598 CENTRAL AVE STE 102A  CHINO, CA 91710-3530 US
Tel: 909-590-7997  Fax: --

Contact information for business:
3357 HONEYBROOK WAY APT 9  ONTARIO, CA 91761-0307 US
Tel: --  Fax: --

Registration Information:
NPI: 1063809374
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y225200000XRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Physical Therapy Assistant
CA10359

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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