GENEFREY GANTIOQUI
Physical Therapy Assistant
Active
Individual
NPI: 1104407147
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Physical Therapy Assistant | 225200000X | Yes | 10152 (CA) |
Frequently Asked Questions
NPI 1104407147 is the National Provider Identifier for GENEFREY GANTIOQUI, a Physical Therapy Assistant provider located in Buena Park, CA. This NPI was enumerated on April 20, 2021.
GENEFREY GANTIOQUI practices at 8219 VALLEY VIEW ST, Buena Park, CA 90620.
Quick Facts
- NPI
- 1104407147
- Type
- Individual
- Enumerated
- Apr 20, 2021
- Last Updated
- Apr 20, 2021
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