Doctor Name: | MR. CALEB MANUEL GUEVARA |
NPI Number: | 1205868577 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | M.P.T. |
License Number: | PHYSICAL THERAPY |
Business Practice Address: | 138 S Bryn Mawr St Apt. # 2 Ventura, CA - 930034024 |
Business Phone Number: | 8057967035 |
Business Fax Number: | |
Mailing Address: | 138 S Bryn Mawr St, Apt. # 2 VENTURA |
State: | CA |
Postal Code: | 930034024 |
Phone Number: | 8057967035 |
Fax Number: | |
NPI Enumeration Date: | 07/07/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 174400000X |
License Number: | PHYSICAL THERAPY |
Healthcare Provider Taxonomy: (Secondary) | X |
State: | CA |
Taxonomy Type: | Other Service Providers |
Taxonomy Classification: | Specialist |
Taxonomy Specialization: | |
Taxonomy Definition: | An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |