MEDICARE: ASLENE CABIAS JULIAN PHYSICAL THERAPIST

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	225400000X	Rehabilitation Practitioner	045039	NY

General Provider Information

NPI Number	:	1407477292
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ASLENE CABIAS JULIAN PHYSICAL THERAPIST

Provider Business Mailing Address
First Line	:	6815 THORNWOOD ST
Second Line	:
City	:	SAN DIEGO
State	:	CA
Zip	:	92111-4140
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	8060 FROST ST
Second Line	:
City	:	SAN DIEGO
State	:	CA
Zip	:	92123-2703
Country	:	US
Telephone Number	:	858-278-4750
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/03/2020
Last Update Date	:	05/12/2020

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