Philip Samaniego, PTA
Physical Therapy Assistant in Camarillo, CA. Individual provider (NPI-1).
NPI number1811439698
StatusActive
Last updated in NPPESNov 10, 2016
Details
- NPI
- 1811439698
- Entity type
- Individual (NPI-1)
- Name
- Mr. Philip Samaniego
- Credential
- PTA
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Nov 10, 2016
- Last updated
- Nov 10, 2016
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 225200000X | Physical Therapy Assistant | 10240 | CA | Yes |
Practice location
205 Granada StCamarillo, CA 93010-7715
Phone 805-482-9805
Mailing address
746 Nile River DrOxnard, CA 93036-5354
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