Carlos Fabian Ontiveros

NPI #1730942640 in Lemon Grove, California

Provider Information

NPI Number
1730942640
Entity Type
Individual
Name
Carlos Fabian Ontiveros
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Physical Therapist
Enumeration Date
Feb 2, 2024
Last Updated
Feb 2, 2024

Practice Location

Address
7826 BROADWAY
ZIP Code
91945-1801
Phone
(619) 876-4420

Specialties & Taxonomy Codes

Specialty
Physical Therapist

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