Dandel Jason Gaviola Maranan

Physical Therapy Assistant · Clovis, CA

Individual Active NPI

NPI number 1962857904

Practice location

2971 Donner Ave
Clovis, CA 93611-6096
Phone
(727) 742-2005

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NPI record

NPI
1962857904
Entity type
Individual (Type 1)
Enumeration date
April 27, 2016
Last updated
April 27, 2016
Sole proprietor
Yes

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Physical Therapy Assistant Primary 225200000X AT 10745 CA

About Dandel Jason Maranan

Dandel Jason Gaviola Maranan is a healthcare provider registered in the NPI registry with the primary taxonomy Physical Therapy Assistant (code 225200000X). The practice location is 2971 Donner Ave, Clovis, CA 93611-6096. The NPI number 1962857904 was assigned on April 27, 2016 and the record was last updated on April 27, 2016.

Dandel Jason Maranan lists a license in the registry: #AT 10745 (CA) for Physical Therapy Assistant. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Dandel Jason Gaviola Maranan?

The NPI number is 1962857904.

What is the phone number of Dandel Jason Maranan?

The phone number listed for the practice location is (727) 742-2005.

Where is Dandel Jason Maranan located?

2971 Donner Ave, Clovis, CA 93611-6096.

What is the taxonomy code for Dandel Jason Maranan?

The primary taxonomy code is 225200000X – Physical Therapy Assistant.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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