JOVENCIO COQUIA JIMENEZ III PT

ADVANCE THERAPY PHYSICAL THERAPY CLINIC, INC

Dr JOVENCIO COQUIA JIMENEZ III PT is a male medical professional, specializing in Physical Therapy. He graduated in 1998.

Contact

ADVANCE THERAPY PHYSICAL THERAPY CLINIC, INC

1415 E COLORADO ST
SUITE 212
GLENDALE
CA
912051541

Tel: 8182405512

JOVENCIO COQUIA JIMENEZ III PT Information

Npi 1407874720
Pac Id 2860449246
Professional Enrollment Id I20050407000471
Last Name JIMENEZ
First Name JOVENCIO
Middle Name COQUIA
Suffix III
Gender M
Credential PT
Medical School Name OTHER
Graduation Year 1998
Primary Specialty PHYSICAL THERAPY
Secondary Specialty 1
Secondary Specialty 2
Secondary Specialty 3
Secondary Specialty 4
All Secondary Specialties
Organization Legal Name ADVANCE THERAPY PHYSICAL THERAPY CLINIC, INC
Group Practice Pac Id 3375590078
Number Of Group Practice Members 2
Line 1 Street Address 1415 E COLORADO ST
Line 2 Street Address SUITE 212
Marker Of Address Line 2 Suppression
City GLENDALE
State CA
Zip Code 912051541
Phone Number 8182405512
Hospital Affiliation Ccn 1
Hospital Affiliation Lbn 1
Hospital Affiliation Ccn 2
Hospital Affiliation Lbn 2
Hospital Affiliation Ccn 3
Hospital Affiliation Lbn 3
Hospital Affiliation Ccn 4
Hospital Affiliation Lbn 4
Hospital Affiliation Ccn 5
Hospital Affiliation Lbn 5
Professional Accepts Medicare Assignment M

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