Brian A Raqueno, PT, DPT

NPI #1548562523 in Alta Loma, California

Provider Information

NPI Number: 1548562523
Entity Type: Individual
Name: Brian A Raqueno, PT, DPT
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Physical Therapist
Credential: PT, DPT
Enumeration Date: Nov 24, 2010
Last Updated: Nov 30, 2021

Practice Location

Address: 9850 19TH ST
Address 2: APT 186
City: Alta Loma
State: California
ZIP Code: 91737-4232
Phone: (302) 345-2863

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist	225100000X	Primary

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