Whalio Doctors

NPI 1235837857

Maximino Jamisola Decorion

Practitioner Physical Therapy Assistant Madera, CA

Practice location

Address
517 S a St, Madera, CA 93638-3806
Phone
(559) 673-9228
Mailing address
444 W Trenton Ave, Clovis, CA 93619-0409

Registered specialties

Physical Therapy Assistant Primary
Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 225200000X Licence 49890 (CA)

Registry record

NPI
1235837857
Entity type
Individual
Sex (as registered)
Male
NPI issued
22 Feb 2023
Record last updated
22 Feb 2023

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.