MR. Patrick Capistrano Gregorio, RECREATION THERAPIST
NPI #1366520223 in Sepulveda, California
Provider Information
- NPI Number
- 1366520223
- Entity Type
- Individual
- Name
- MR. Patrick Capistrano Gregorio, RECREATION THERAPIST
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Recreation Therapist
- Credential
- RECREATION THERAPIST
- Enumeration Date
- Nov 1, 2006
- Last Updated
- Jul 8, 2007
Practice Location
- Address
- 16111 PLUMMER ST
- Address 2
- RT117
- City
- Sepulveda
- State
- California
- ZIP Code
- 91343-2036
- Phone
- (818) 891-7711
Specialties & Taxonomy Codes
| Specialty |
|---|
| Recreation Therapist |
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