Provider Demographics
NPI:1619604824
Name:VUKOJEVIC, FRANJO (PT, DPT)
Entity Type:Individual
Prefix:
First Name:FRANJO
Middle Name:
Last Name:VUKOJEVIC
Suffix:
Gender:M
Credentials:PT, DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:803 BARHUGH PL
Mailing Address - Street 2:
Mailing Address - City:SAN PEDRO
Mailing Address - State:CA
Mailing Address - Zip Code:90731-1207
Mailing Address - Country:US
Mailing Address - Phone:310-310-5499
Mailing Address - Fax:
Practice Address - Street 1:3737 MORAGA AVE STE B117
Practice Address - Street 2:
Practice Address - City:SAN DIEGO
Practice Address - State:CA
Practice Address - Zip Code:92117-5358
Practice Address - Country:US
Practice Address - Phone:858-270-0981
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-08-07
Last Update Date:2022-08-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAPT302255225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist