Provider Demographics
NPI:1386910974
Name:CLIMACO, JULIO CESAR (PT)
Entity type:Individual
Prefix:MR
First Name:JULIO
Middle Name:CESAR
Last Name:CLIMACO
Suffix:
Gender:M
Credentials:PT
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Mailing Address - Street 1:20530 ANZA AVE
Mailing Address - Street 2:APT 163
Mailing Address - City:TORRANCE
Mailing Address - State:CA
Mailing Address - Zip Code:90503-2942
Mailing Address - Country:US
Mailing Address - Phone:347-255-7667
Mailing Address - Fax:
Practice Address - Street 1:21615 HAWTHORNE BLVD
Practice Address - Street 2:SUITE 200
Practice Address - City:TORRANCE
Practice Address - State:CA
Practice Address - Zip Code:90503-6668
Practice Address - Country:US
Practice Address - Phone:310-371-8555
Practice Address - Fax:310-371-4488
Is Sole Proprietor?:Yes
Enumeration Date:2012-03-28
Last Update Date:2014-01-10
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
NY023009-1225100000X, 2251P0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2251P0200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistPediatrics
No225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist