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1346959509
ANTHONY PORTILLO
WEST COVINA, CA
NPI
1346959509
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
225100000X Physical Therapist
(Licence: CA 303237)
Enumeration Date
2022-11-16
Last Update Date
2023-11-06
Business Address
ANTHONY PORTILLO PT, DPT, CSCS
100 N BARRANCA ST STE 920
WEST COVINA, CA 91791-1654
Phone number: 626-263-6469
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Mailing Address
ANTHONY PORTILLO PT, DPT, CSCS
1348 N ALDENVILLE AVE
COVINA, CA 91722-1522
Phone number: 626-315-3789
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