Provider Demographics
NPI:1467164525
Name:CUELLAR-FRANCO, EDGARDO (DPT)
Entity type:Individual
Prefix:
First Name:EDGARDO
Middle Name:
Last Name:CUELLAR-FRANCO
Suffix:
Gender:M
Credentials:DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2429 SILVERIA WAY
Mailing Address - Street 2:
Mailing Address - City:ANTIOCH
Mailing Address - State:CA
Mailing Address - Zip Code:94531-8266
Mailing Address - Country:US
Mailing Address - Phone:408-480-5559
Mailing Address - Fax:
Practice Address - Street 1:88 ROWLAND WAY STE 250
Practice Address - Street 2:
Practice Address - City:NOVATO
Practice Address - State:CA
Practice Address - Zip Code:94945-5062
Practice Address - Country:US
Practice Address - Phone:415-484-1163
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-12-20
Last Update Date:2022-12-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist