Imelda Dayuta Milo, PT
Physical Therapist in Hercules, CA. Individual provider (NPI-1).
NPI number1982114583
StatusActive
Last updated in NPPESOct 9, 2017
Details
- NPI
- 1982114583
- Entity type
- Individual (NPI-1)
- Name
- Imelda Dayuta Milo
- Credential
- PT
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Oct 9, 2017
- Last updated
- Oct 9, 2017
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 225100000X | Physical Therapist | PT26408 | CA | Yes |
Practice location
136 Dockside BayHercules, CA 94547-2704
Phone 559-930-9670
Mailing address
993 Cedar Cliff CtHenderson, NV 89002-9736
Phone 559-930-9670
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Other Physical Therapist providers in Hercules, CA
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All 6 Physical Therapist providers in Hercules · All 349 providers in Hercules
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