| Doctor Name: | MR. PATRICK CAPISTRANO GREGORIO |
| NPI Number: | 1366520223 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | RECREATION THERAPIST |
| License Number: | |
| Business Practice Address: | 16111 Plummer St Rt117 Sepulveda, CA - 913432036 |
| Business Phone Number: | 8188917711 |
| Business Fax Number: | 8188955883 |
| Mailing Address: | 16111 Plummer St, Rt117 SEPULVEDA |
| State: | CA |
| Postal Code: | 913432036 |
| Phone Number: | 8188917711 |
| Fax Number: | 8188955883 |
| NPI Enumeration Date: | 11/01/2006 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 225800000X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | |
| Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Taxonomy Classification: | Recreation Therapist |
| Taxonomy Specialization: | |
| Taxonomy Definition: | A recreation therapist uses recreational activities for intervention in some physical, social or emotional behavior to bring about a desired change in that behavior and promote the growth and development of the patient. |