Provider Demographics
NPI:1811182660
Name:SITJAR, ARISTEDES AGUIRRE JR (PT)
Entity type:Individual
Prefix:
First Name:ARISTEDES
Middle Name:AGUIRRE
Last Name:SITJAR
Suffix:JR
Gender:M
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:25285 MADISON AVE
Mailing Address - Street 2:SUITE 104
Mailing Address - City:MURRIETA
Mailing Address - State:CA
Mailing Address - Zip Code:92562-8955
Mailing Address - Country:US
Mailing Address - Phone:951-600-9070
Mailing Address - Fax:951-600-9177
Practice Address - Street 1:25285 MADISON AVE
Practice Address - Street 2:SUITE 104
Practice Address - City:MURRIETA
Practice Address - State:CA
Practice Address - Zip Code:92562-8955
Practice Address - Country:US
Practice Address - Phone:951-600-9070
Practice Address - Fax:951-600-9177
Is Sole Proprietor?:No
Enumeration Date:2007-09-13
Last Update Date:2009-06-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAPT27868225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist