Bobby Suministrado, PTA
NPI #1336976182 in Moorpark, California
Provider Information
- NPI Number
- 1336976182
- Entity Type
- Individual
- Name
- Bobby Suministrado, PTA
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Physical Therapy Assistant
- Credential
- PTA
- Enumeration Date
- Sep 16, 2024
- Last Updated
- Sep 16, 2024
Practice Location
- Address
- 4211 TIERRA REJADA RD
- City
- Moorpark
- State
- California
- ZIP Code
- 93021-3772
- Phone
- (805) 529-8076
Specialties & Taxonomy Codes
| Specialty |
|---|
| Physical Therapy Assistant |
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