Jann-eric Victoriano, PT, DPT | |
3518 Arbor Rd, Lakewood, CA 90712-3409 | |
(562) 480-7991 | |
Not Available |
Full Name | Jann-eric Victoriano |
---|---|
Gender | Male |
Speciality | Physical Therapist |
Location | 3518 Arbor Rd, Lakewood, California |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1255119848 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | 304622 (California) | Primary |
Provider Name | California Rehabilitation & Sports Therapy A California Physical Ther |
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Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
Provider Identifiers | NPI Number: 1386696409 PECOS PAC ID: 6709788896 Enrollment ID: O20040120001115 |
Mailing Address | Practice Location Address |
---|---|
Jann-eric Victoriano, PT, DPT 3518 Arbor Rd, Lakewood, CA 90712-3409 Ph: (562) 480-7991 | Jann-eric Victoriano, PT, DPT 3518 Arbor Rd, Lakewood, CA 90712-3409 Ph: (562) 480-7991 |
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