Provider Demographics
NPI:1679241707
Name:FRANCO-MIRANDA, ARACELI LUZ (PTA)
Entity Type:Individual
Prefix:
First Name:ARACELI
Middle Name:LUZ
Last Name:FRANCO-MIRANDA
Suffix:
Gender:F
Credentials:PTA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5104 EL CIRCULO
Mailing Address - Street 2:
Mailing Address - City:OCEANSIDE
Mailing Address - State:CA
Mailing Address - Zip Code:92056-6457
Mailing Address - Country:US
Mailing Address - Phone:760-490-7422
Mailing Address - Fax:
Practice Address - Street 1:410 S MELROSE DR STE 200
Practice Address - Street 2:
Practice Address - City:VISTA
Practice Address - State:CA
Practice Address - Zip Code:92081-6623
Practice Address - Country:US
Practice Address - Phone:760-630-8060
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-09-02
Last Update Date:2021-09-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA51311225200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225200000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapy Assistant