Individual provider · NPI-1
Steve Aviles, MPT, ATC
Physical Therapist · Diamond Bar, CA
NPI number1255436895
StatusActive
Last updated in NPPESSep 9, 2016
Details
- NPI
- 1255436895
- Entity type
- Individual (NPI-1)
- Name
- Steve Aviles
- Credential
- MPT, ATC
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Sep 14, 2006
- Last updated
- Sep 9, 2016
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 225100000X | Physical Therapist | pt22029 | CA | Yes |
Practice location
1370 Valley Vista Dr Ste 145Diamond Bar, CA 91765-3950
Phone 909-861-3511 · Fax 909-860-7900
Mailing address
21015 Pathfinder RdSte 100
Diamond Bar, CA 91765-4002
Phone 909-861-3511 · Fax 909-860-7900
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