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Elena J Juarez-Wilson, PTA

Physical Therapy Assistant in Exeter, CA. Individual provider (NPI-1).

NPI number1851726558
StatusActive
Last updated in NPPESSep 12, 2013

Details

NPI
1851726558
Entity type
Individual (NPI-1)
Name
Mrs. Elena J Juarez-Wilson
Credential
PTA
Sex
Female
Sole proprietor
Yes
Enumeration date
Sep 12, 2013
Last updated
Sep 12, 2013

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
225200000X Physical Therapy AssistantAT10027CAYes

Practice location

511 W Visalia Rd
Exeter, CA 93221-1019

Phone 559-592-7117 · Fax 559-592-7112

Mailing address

511 W Visalia Rd
Exeter, CA 93221-1019

Phone 559-592-7117 · Fax 559-592-7112

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