Provider Demographics
NPI:1871764605
Name:AGUILAR, JAMES J (PT, MBA)
Entity type:Individual
Prefix:MR
First Name:JAMES
Middle Name:J
Last Name:AGUILAR
Suffix:
Gender:M
Credentials:PT, MBA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:548 MARKET ST # 75842
Mailing Address - Street 2:
Mailing Address - City:SAN FRANCISCO
Mailing Address - State:CA
Mailing Address - Zip Code:94104-5401
Mailing Address - Country:US
Mailing Address - Phone:886-886-9992
Mailing Address - Fax:866-871-5895
Practice Address - Street 1:548 MARKET ST # 75842
Practice Address - Street 2:
Practice Address - City:SAN FRANCISCO
Practice Address - State:CA
Practice Address - Zip Code:94104-5401
Practice Address - Country:US
Practice Address - Phone:886-886-9992
Practice Address - Fax:866-871-5895
Is Sole Proprietor?:No
Enumeration Date:2008-03-19
Last Update Date:2016-01-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAPT18893225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist