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NPI Code Detail

MEDICARE: JOSHUA LO

MEDICARE: JOSHUA LO
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
12251X0800XOrthopedic Physical Therapist

General Provider Information

NPI Number : 1033836135
Entity Type Code : Individual
Provider Name (Legal Business Name) : JOSHUA LO
Provider Business Mailing Address
First Line : 1718 EL RITO AVE
Second Line :
City : GLENDALE
State : CA
Zip : 91208-2338
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 1718 EL RITO AVE
Second Line :
City : GLENDALE
State : CA
Zip : 91208-2338
Country : US
Telephone Number : 818-636-4215
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/20/2022
Last Update Date : 10/27/2023

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Directions to “ JOSHUA LO ” Practice Location

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