Bret J Bacciocco
Physical Therapy Assistant in Sherman Oaks, CA. Individual provider (NPI-1).
NPI number1114071990
StatusActive
Last updated in NPPESSep 28, 2011
Details
- NPI
- 1114071990
- Entity type
- Individual (NPI-1)
- Name
- Bret J Bacciocco
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Jan 22, 2007
- Last updated
- Sep 28, 2011
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 225200000X | Physical Therapy Assistant | AT4252 | CA | Yes |
Practice location
5000 Van Nuys Blvd Ste 314Sherman Oaks, CA 91403-1852
Phone 818-783-2396 · Fax 818-783-2467
Mailing address
5000 Van Nuys Blvd Ste 314Sherman Oaks, CA 91403-1852
Phone 818-783-2396 · Fax 818-783-2467
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Other Physical Therapy Assistant providers in Sherman Oaks, CA
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All 15 Physical Therapy Assistant providers in Sherman Oaks · All 3,777 providers in Sherman Oaks
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