Most Relevant Information
Provider Data
| NPI Number: | 1003574278 |
| Provider Name: | ERNESTO URIBE GUERRERO PTA |
| Entity Type: | Individual |
| Taxonomy Code: | 225200000X |
| Specialty: | Physical Therapy Assistant |
| License Number: | 50723 |
Most Important Dates
| Enumeration Date: | 12/03/2021 |
| Last Updated: | 12/03/2021 |
Provider Practice Location
1152 N WEST ST APT M2
ANAHEIM
CA
928012926
Practice Location Phone/Fax
| Phone: | 7143086828 |
| Fax: |
Provider Mailing Location
1152 N WEST ST APT M2
ANAHEIM
CA
928012926
Provider Mailing Phone/Fax
| Phone: | 7143086828 |
| Fax: |