Andrew Novencido, PT, DPT
Physical Therapist in Imperial Beach, CA. Individual provider (NPI-1).
NPI number1447723937
StatusActive
Last updated in NPPESJan 7, 2019
Details
- NPI
- 1447723937
- Entity type
- Individual (NPI-1)
- Name
- Andrew Novencido
- Credential
- PT, DPT
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Jan 7, 2019
- Last updated
- Jan 7, 2019
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 225100000X | Physical Therapist | 295915 | CA | Yes |
Practice location
1155 13th StImperial Beach, CA 91932-3608
Phone 619-941-2680
Mailing address
343 Crestview DrBonita, CA 91902-4253
Phone 619-339-2974
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All 15 Physical Therapist providers in Imperial Beach · All 184 providers in Imperial Beach
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