MR. Jerry C. Cardenas, P.T.

NPI #1396099693 in Newport Coast, California

Provider Information

NPI Number: 1396099693
Entity Type: Individual
Name: MR. Jerry C. Cardenas, P.T.
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Physical Therapist
Credential: P.T.
Enumeration Date: Nov 8, 2012
Last Updated: Nov 8, 2012

Practice Location

Address: 17 PARKCREST
City: Newport Coast
State: California
ZIP Code: 92657-1097
Phone: (949) 922-5280

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist	225100000X	Primary

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