Most Relevant Information
Provider Data
| NPI Number: | 1003653106 |
| Provider Name: | JOSHUA AUSTIN ENRIQUEZ VICTORIO |
| Entity Type: | Individual |
| Taxonomy Code: | 225200000X |
| Specialty: | Physical Therapy Assistant |
| License Number: | 51609 |
Most Important Dates
| Enumeration Date: | 07/15/2024 |
| Last Updated: | 07/15/2024 |
Provider Practice Location
19462 EMPTY SADDLE RD
WALNUT
CA
917894290
Practice Location Phone/Fax
| Phone: | 6268771664 |
| Fax: |
Provider Mailing Location
19462 EMPTY SADDLE RD
WALNUT
CA
917894290
Provider Mailing Phone/Fax
| Phone: | 6268771664 |
| Fax: |