Imelda Dayuta Milo, PT

NPI #1982114583 in Hercules, California

Provider Information

NPI Number: 1982114583
Entity Type: Individual
Name: Imelda Dayuta Milo, PT
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Physical Therapist
Credential: PT
Enumeration Date: Oct 9, 2017
Last Updated: Oct 9, 2017

Practice Location

Address: 136 DOCKSIDE BAY
City: Hercules
State: California
ZIP Code: 94547-2704
Phone: (559) 930-9670

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist	225100000X	Primary

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