Bret J Bacciocco

NPI #1114071990 in Sherman Oaks, California

Provider Information

NPI Number: 1114071990
Entity Type: Individual
Name: Bret J Bacciocco
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physical Therapy Assistant
Enumeration Date: Jan 22, 2007
Last Updated: Sep 28, 2011

Practice Location

Address: 5000 VAN NUYS BLVD STE 314
City: Sherman Oaks
State: California
ZIP Code: 91403-1852
Phone: (818) 783-2396

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapy Assistant	225200000X	Primary

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