Juanluis Basilio-Espinal
Physical Therapy Assistant in Philadelphia, PA. Individual provider (NPI-1).
NPI number1225852114
StatusActive
Last updated in NPPESNov 8, 2024
Details
- NPI
- 1225852114
- Entity type
- Individual (NPI-1)
- Name
- Juanluis Basilio-Espinal
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Nov 8, 2024
- Certification date
- Nov 8, 2024
- Last updated
- Nov 8, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 225200000X | Physical Therapy Assistant | TE013141 | PA | Yes |
Practice location
133 W Hunting Park AvePhiladelphia, PA 19140-2717
Phone 215-455-5370
Mailing address
133 W Hunting Park AvePhiladelphia, PA 19140-2717
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