Provider Demographics
NPI:1144250937
Name:LUNA, ABEL JR (PT)
Entity type:Individual
Prefix:MR
First Name:ABEL
Middle Name:
Last Name:LUNA
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 1:6011 N FRESNO ST
Mailing Address - Street 2:SUITE 120
Mailing Address - City:FRESNO
Mailing Address - State:CA
Mailing Address - Zip Code:93710-5274
Mailing Address - Country:US
Mailing Address - Phone:559-436-8155
Mailing Address - Fax:559-436-8165
Practice Address - Street 1:6011 N FRESNO ST
Practice Address - Street 2:SUITE 120
Practice Address - City:FRESNO
Practice Address - State:CA
Practice Address - Zip Code:93710-5274
Practice Address - Country:US
Practice Address - Phone:559-436-8155
Practice Address - Fax:559-436-8165
Is Sole Proprietor?:No
Enumeration Date:2006-07-04
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAPT20718225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist