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1558183194
CASEY ENRIQUEZ
NORTHRIDGE, CA
NPI
1558183194
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: CA 53072)
Enumeration Date
2024-10-25
Last Update Date
2024-10-25
Business Address
CASEY ENRIQUEZ
8550 BALBOA BLVD STE 242
NORTHRIDGE, CA 91325-3593
Phone number: 818-894-2273
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Mailing Address
CASEY ENRIQUEZ
8550 BALBOA BLVD
NORTHRIDGE, CA 91325-3562
Phone number:
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