GINO DIZON LEGASPI

SAN JOSE, CA
NPI1992320386
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy225200000X Physical Therapy Assistant
(Licence: CA  10822)
Enumeration Date2020-06-11
Last Update Date2020-06-11
Business Address
Mr. GINO DIZON LEGASPI PTA
751 S BASCOM AVE
SAN JOSE, CA 95128-2604
Phone number: 408-885-4342
Mailing Address
Mr. GINO DIZON LEGASPI PTA
2087 WENDOVER LN
SAN JOSE, CA 95121-1465
Phone number: 510-378-6503