Provider Demographics
NPI:1851599237
Name:GAETE, JULIO PATRICIO (RPT)
Entity Type:Individual
Prefix:
First Name:JULIO
Middle Name:PATRICIO
Last Name:GAETE
Suffix:
Gender:M
Credentials:RPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:15322 RYON AVE
Mailing Address - Street 2:
Mailing Address - City:BELLFLOWER
Mailing Address - State:CA
Mailing Address - Zip Code:90706-3621
Mailing Address - Country:US
Mailing Address - Phone:562-867-6319
Mailing Address - Fax:
Practice Address - Street 1:15322 RYON AVE
Practice Address - Street 2:
Practice Address - City:BELLFLOWER
Practice Address - State:CA
Practice Address - Zip Code:90706-3621
Practice Address - Country:US
Practice Address - Phone:562-867-6319
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-07-06
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA14380225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist