Provider Demographics
NPI:1538492343
Name:DELLOTA, JEE AGUILOS (PT)
Entity Type:Individual
Prefix:MR
First Name:JEE
Middle Name:AGUILOS
Last Name:DELLOTA
Suffix:
Gender:M
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:35 BUSINESS DR STE AB
Mailing Address - Street 2:
Mailing Address - City:BROWNSVILLE
Mailing Address - State:TX
Mailing Address - Zip Code:78521-4499
Mailing Address - Country:US
Mailing Address - Phone:956-517-1235
Mailing Address - Fax:888-588-3234
Practice Address - Street 1:35 BUSINESS DR STE AB
Practice Address - Street 2:
Practice Address - City:BROWNSVILLE
Practice Address - State:TX
Practice Address - Zip Code:78521-4499
Practice Address - Country:US
Practice Address - Phone:956-517-1235
Practice Address - Fax:888-588-3234
Is Sole Proprietor?:Yes
Enumeration Date:2009-09-10
Last Update Date:2011-01-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist