Provider Demographics
NPI:1952477465
Name:JUAREZ, ROBERT JR (PHYSICAL THERAPIST)
Entity Type:Individual
Prefix:
First Name:ROBERT
Middle Name:
Last Name:JUAREZ
Suffix:JR
Gender:M
Credentials:PHYSICAL THERAPIST
Other - Prefix:
Other - First Name:ROBERT
Other - Middle Name:ALLEN
Other - Last Name:JUAREZ
Other - Suffix:JR
Other - Last Name Type:Other Name
Other - Credentials:PHYSICAL THERAPIST
Mailing Address - Street 1:881 SUNSET PLACE
Mailing Address - Street 2:
Mailing Address - City:DIAMOND BAR
Mailing Address - State:CA
Mailing Address - Zip Code:91765
Mailing Address - Country:US
Mailing Address - Phone:909-861-8071
Mailing Address - Fax:
Practice Address - Street 1:1011 BALDWIN PARK BLVD
Practice Address - Street 2:KAISER PERMANENTE BALDWIN PARK
Practice Address - City:BALDWIN PARK
Practice Address - State:CA
Practice Address - Zip Code:91706
Practice Address - Country:US
Practice Address - Phone:626-851-5588
Practice Address - Fax:626-851-5025
Is Sole Proprietor?:No
Enumeration Date:2006-11-27
Last Update Date:2021-12-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA28398225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist