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Gisselle Escobar

Clinic/Center, Physical Therapy in Rancho Cucamonga, CA. Individual provider (NPI-1).

NPI number1164089801
StatusActive
Last updated in NPPESMay 28, 2019

Details

NPI
1164089801
Entity type
Individual (NPI-1)
Name
Gisselle Escobar
Sex
Female
Sole proprietor
Yes
Enumeration date
May 28, 2019
Last updated
May 28, 2019

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
261QP2000X Clinic/Center, Physical Therapy––Yes

Practice location

8282 White Oak Ave Ste 107
Rancho Cucamonga, CA 91730-7681

Phone 909-586-0509

Mailing address

11928 Cactus Ct
Fontana, CA 92337-0798

Phone 909-697-6872

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