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Diego Gavela, PT, WCC

Physical Therapist in Pomona, CA. Individual provider (NPI-1).

NPI number1164051702
StatusActive
Last updated in NPPESApr 6, 2020

Details

NPI
1164051702
Entity type
Individual (NPI-1)
Name
Diego Gavela
Credential
PT, WCC
Sex
Male
Sole proprietor
Yes
Enumeration date
Apr 6, 2020
Certification date
Apr 6, 2020
Last updated
Apr 6, 2020

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
225100000X Physical TherapistPT24890CAYes

Practice location

1798 N Garey Ave
Pomona, CA 91767-2918

Phone 909-865-9810

Mailing address

1798 N Garey Ave
Pomona, CA 91767-2918

Phone 909-865-9810

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