Juan Jose Herrera, PTA

NPI #1326603267 in Culver City, California

Provider Information

NPI Number: 1326603267
Entity Type: Individual
Name: Juan Jose Herrera, PTA
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physical Therapy Assistant
Credential: PTA
Enumeration Date: May 7, 2019
Last Updated: May 7, 2019

Practice Location

Address: 5240 SEPULVEDA BLVD
City: Culver City
State: California
ZIP Code: 90230-5214
Phone: (310) 391-7266

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapy Assistant	225200000X	Primary

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