Provider Demographics
NPI:1366520223
Name:GREGORIO, PATRICK CAPISTRANO (RECREATION THERAPIST)
Entity type:Individual
Prefix:MR
First Name:PATRICK
Middle Name:CAPISTRANO
Last Name:GREGORIO
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Gender:M
Credentials:RECREATION THERAPIST
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Mailing Address - Street 1:16111 PLUMMER ST
Mailing Address - Street 2:RT117
Mailing Address - City:SEPULVEDA
Mailing Address - State:CA
Mailing Address - Zip Code:91343-2036
Mailing Address - Country:US
Mailing Address - Phone:818-891-7711
Mailing Address - Fax:818-895-5883
Practice Address - Street 1:16111 PLUMMER ST
Practice Address - Street 2:RT117
Practice Address - City:SEPULVEDA
Practice Address - State:CA
Practice Address - Zip Code:91343-2036
Practice Address - Country:US
Practice Address - Phone:818-891-7711
Practice Address - Fax:818-895-5883
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-01
Last Update Date:2007-07-08
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225800000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersRecreation Therapist