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Contact Information

JAY J SIRITARANUKUL, PTA
1346 FOOTHILLD BLVD.
SUITE 101
LA CANADA FLINTRIDGE, CA91011
 Phone: 818-790-3001
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Physical Therapy Assistant

225200000X
Indicates primary specialty

NPI Profile & details for JAY J SIRITARANUKUL · (Male)

NPI Number 1649865734
Status Active
Credentials PTA (Physical Therapist Assistant)
Entity Individual
Enumeration date 03/02/2021
Last updated 03/02/2021 - About 5 years ago
Sole proprietor 1 No
Identifiers
  • CA License # PTA10715
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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