Pacillas, Bryan R

Pacillas, Bryan R is an sole proprietor health care provider with primary practice located at 1136 N Chinowth St , Visalia CA 93291-4113. He recently has 2 registered licenses in different health care specialties including Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Orthopedic, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist. Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist is his primary health care specialty. Pacillas, Bryan R can be contacted via phone (559) 596-7101.

Contact Information

Primary practice address
1136 N Chinowth St Visalia CA 93291-4113
Phone: (559) 596-7101
Fax: (559) 671-0101
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Orthopedic 2251X0800X PT22909 California
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X PT22909 California

Profile Details

NPI number 1174682066
LBN Legal business name Pacillas, Bryan R
Credentials Master of Physical Therapy (MPT)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Dec 6th, 2006
Last updated Oct 14th, 2021 - about 5 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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Identifiers

StateTypeNumberIssuer
All States NPI 1174682066 NPPES
California Other OPT229090 BLUE SHIELD

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