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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

BRIAN A RAQUENO, PT, DPT

Active Sole Proprietor

BRIAN A RAQUENO, PT, DPT is a Physical Therapy Assistant healthcare provider located in ALTA LOMA, California. NPI 1548562523 is currently active in the NPPES registry. Verify at CMS.

Physical Therapy Assistant · ALTA LOMA, CA

Registration Details

NPI Number
1548562523
Provider Type
Individual
Gender
Male
NPI Issued
Nov 24, 2010 (15.733937697933 yrs)
Last Updated
Nov 30, 2021
Licenses
J1-0002540 (DE)
39061 (CA)
Sole Proprietor
Yes

Practice Information

Address
9850 19TH ST
APT 186
ALTA LOMA, CA, 917374232
Browse CA providers · Browse ZIP 91737
Phone
3023452863
Primary Specialty
Physical Therapy Assistant
225100000X
Additional Specialty
Physical Therapy Assistant

Other Physical Therapy Assistant Providers in ALTA LOMA, CA

Name Credential NPI
NIDHI CHINMAI PAPAGARI 1518282029
ASHLEY MONTGOMERY D.P.T 1538469747
ELIANE GEORGE NASRAWI PT 1770069809
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.