Provider Demographics
NPI:1881141794
Name:GIL-ALVISO, BARBARA (ATC)
Entity type:Individual
Prefix:
First Name:BARBARA
Middle Name:
Last Name:GIL-ALVISO
Suffix:
Gender:F
Credentials:ATC
Other - Prefix:
Other - First Name:BARBIE
Other - Middle Name:
Other - Last Name:GIL
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:6706 BORGES ST
Mailing Address - Street 2:
Mailing Address - City:EASTVALE
Mailing Address - State:CA
Mailing Address - Zip Code:92880-8990
Mailing Address - Country:US
Mailing Address - Phone:951-545-3747
Mailing Address - Fax:
Practice Address - Street 1:6706 BORGES ST
Practice Address - Street 2:
Practice Address - City:EASTVALE
Practice Address - State:CA
Practice Address - Zip Code:92880-8990
Practice Address - Country:US
Practice Address - Phone:951-545-3747
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-09-08
Last Update Date:2016-09-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2255A2300XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersSpecialist/TechnologistAthletic Trainer