Genefrey Gantioqui
NPI #1104407147 in Buena Park, California
Provider Information
- NPI Number
- 1104407147
- Entity Type
- Individual
- Name
- Genefrey Gantioqui
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Physical Therapy Assistant
- Enumeration Date
- Apr 20, 2021
- Last Updated
- Apr 20, 2021
Practice Location
- Address
- 8219 VALLEY VIEW ST
- City
- Buena Park
- State
- California
- ZIP Code
- 90620-2700
- Phone
- (562) 612-6943
Specialties & Taxonomy Codes
| Specialty |
|---|
| Physical Therapy Assistant |
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