SearchCalifornia2255A2300X

Joshua Shrivastava, MA, PTA, ATC, CSCS

NPI 1992027015 · on the registry since 2010 · sole proprietor

Practice

Address
25512 Gloriosa Dr
Mission Viejo, CA 92691
Phone
(818) 624-6162

Registry record

Primary taxonomy
2255A2300X
2255A2300X
Also registered as
225200000X
Licence states on file
CA
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2014-02-19

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in California