JHUN DANIELE GRUESO AGONOY PTA
Individual Provider (NPI-1)
Active
Physical Therapy Assistant
Provider Information
- NPI Number
1982394193- Provider Type
- Individual Provider (NPI-1)
- Credentials
- PTA
- Status
- Active
Contact & Location
- Address
- 3838 PACIFIC AVE, FOREST GROVE, OR, 971162224
- Phone
- (503) 357-1706
- Fax
- (503) 270-5023
Specialties & Taxonomies
Physical Therapy Assistant
Primary License: OR #10156