Tavarro, Jessie

Tavarro, Jessie is an sole proprietor health care provider with primary practice located at 12555 Lakewood Blvd Ste F , Downey CA 90242-2771. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapy Assistant, which is considered as his primary health care specialty. Tavarro, Jessie can be contacted via phone (562) 923-4704.

Contact Information

Primary practice address
12555 Lakewood Blvd Ste F Downey CA 90242-2771
Phone: (562) 923-4704
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapy Assistant 225200000X PTA48319 California

Profile Details

NPI number 1811572902
LBN Legal business name Tavarro, Jessie
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 10th, 2021
Last updated Mar 10th, 2021 - about 4 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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