Trysen Jason Del Bosque, PT, DPT
NPI #1255963138 in Venice, California
Provider Information
- NPI Number
- 1255963138
- Entity Type
- Individual
- Name
- Trysen Jason Del Bosque, PT, DPT
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Physical Therapist
- Credential
- PT, DPT
- Enumeration Date
- Feb 7, 2020
- Last Updated
- Aug 31, 2021
Practice Location
- Address
- 1600 MAIN ST FL 2
- City
- Venice
- State
- California
- ZIP Code
- 90291-3626
- Phone
- (888) 859-0145
Specialties & Taxonomy Codes
| Specialty |
|---|
| Physical Therapist |
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