Provider Demographics
NPI:1477893824
Name:ESCOBAR, JAY-ANNE RABIA (RPT)
Entity Type:Individual
Prefix:MRS
First Name:JAY-ANNE
Middle Name:RABIA
Last Name:ESCOBAR
Suffix:
Gender:F
Credentials:RPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:40054 OAK GROVE AVE
Mailing Address - Street 2:
Mailing Address - City:MURRIETA
Mailing Address - State:CA
Mailing Address - Zip Code:92562-3847
Mailing Address - Country:US
Mailing Address - Phone:951-249-2158
Mailing Address - Fax:760-884-3619
Practice Address - Street 1:40054 OAK GROVE AVE
Practice Address - Street 2:
Practice Address - City:MURRIETA
Practice Address - State:CA
Practice Address - Zip Code:92562-3847
Practice Address - Country:US
Practice Address - Phone:951-249-2158
Practice Address - Fax:760-884-3619
Is Sole Proprietor?:Yes
Enumeration Date:2013-02-21
Last Update Date:2013-02-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA26376225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist