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MICHAEL RAY EUGENIO PT

>> Physical Therapist >> Respiratory, Developmental, Rehabilitative and Restorative Service Providers

Registrant NPI Number: 1518125004

Individual Registrant:
 MICHAEL RAY EUGENIO PT
Gender: M
Not Sole Proprietor

Location and contact information for practice:
18540 BELSHIRE AVE  ARTESIA, CA 90701-5917 US
Tel: 562-274-3007  Fax: --

Contact information for business:
18540 BELSHIRE AVE  ARTESIA, CA 90701-5917 US
Tel: 562-274-3007  Fax: --

Registration Information:
NPI: 1518125004
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y225100000XRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Physical Therapist
CAPT29158

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType
CA PT LICENSEPT29158CA01




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