Brent Blanco Santos

NPI #1023830445 in Northridge, California

Provider Information

NPI Number: 1023830445
Entity Type: Individual
Name: Brent Blanco Santos
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physical Therapy Assistant
Enumeration Date: Oct 28, 2024
Last Updated: Oct 28, 2024

Practice Location

Address: 8550 BALBOA BLVD STE 242
City: Northridge
State: California
ZIP Code: 91325-3593
Phone: (877) 757-8353

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapy Assistant	225200000X	Primary

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