Walter Tablante De Jesus RPT

NPI 1023223443 - Physical Therapist - 225100000X

NPI Details
NPI 1023223443
Gender Male
Enumeration Date 05/10/2007
Last Updated 07/08/2007
Entity Type Individual
Active Over 9 years ago
Practice Location
13578 HATCHER PL
FONTANA CA, 92336-2945, US
Phone (909) 641-1096
Fax
Business Location
13578 HATCHER PL
FONTANA CA, 92336-2945, US
Phone (909) 641-1096
Fax
Toxanomy
Taxonomy Code 225100000X
License State California
License Number PT24337
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According to our database, Walter Tablante De Jesus RPT NPI is 1023223443, taxonomy code is 225100000X and license number is PT24337, license state is located at California. Walter Tablante De Jesus RPT physically located at 13578 Hatcher Pl, Fontana CA, 92336-2945. NPI Number Walter Tablante De Jesus RPT has the Individual type.

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1023223443 NPI number is provided on an as is basis without warranty of any kind. 1023223443 is maintained by the National Plan & Provider Enumeration System. The contents of Walter Tablante De Jesus RPT are for informational purposes only.