Provider Demographics
NPI:1700951878
Name:SABORIO, MAYRA CECILIA (PT,DPT,CHT)
Entity Type:Individual
Prefix:MISS
First Name:MAYRA
Middle Name:CECILIA
Last Name:SABORIO
Suffix:
Gender:F
Credentials:PT,DPT,CHT
Other - Prefix:
Other - First Name:MAYRA
Other - Middle Name:CECILIA
Other - Last Name:SABORIO AMIRIAN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:2001 SOLAR DR STE 150
Mailing Address - Street 2:
Mailing Address - City:OXNARD
Mailing Address - State:CA
Mailing Address - Zip Code:93036-0680
Mailing Address - Country:US
Mailing Address - Phone:805-604-1924
Mailing Address - Fax:805-604-0176
Practice Address - Street 1:2001 SOLAR DR STE 150
Practice Address - Street 2:
Practice Address - City:OXNARD
Practice Address - State:CA
Practice Address - Zip Code:93036-0680
Practice Address - Country:US
Practice Address - Phone:805-604-1924
Practice Address - Fax:805-604-0176
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-22
Last Update Date:2019-09-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
2251H1200X
CAPT17661225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
No2251H1200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistHand