Antonio Escudero
Physical Therapy Assistant in Camarillo, CA. Individual provider (NPI-1).
NPI number1154863785
StatusActive
Last updated in NPPESNov 14, 2016
Details
- NPI
- 1154863785
- Entity type
- Individual (NPI-1)
- Name
- Antonio Escudero
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Nov 14, 2016
- Last updated
- Nov 14, 2016
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 225200000X | Physical Therapy Assistant | 9699 | CA | Yes |
Practice location
205 Granada StCamarillo, CA 93010-7715
Phone 805-482-9805
Mailing address
205 Granada StCamarillo, CA 93010-7715
Phone 805-482-9805
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