Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Brian A Raqueno, PT, DPT

Individual provider Physical Therapist · NPI 1548562523

Brian A Raqueno, PT, DPT is a Physical Therapist in Alta Loma, California. Practices as a sole proprietor. Licensed in California and Delaware.

Licensed in
CA, DE
In the registry since
2010
Specialties on file
2
What do these letters mean?
PT — Physical Therapist
A licensed therapist who treats movement, pain and injury.
DPT — Doctor of Physical Therapy
The doctoral degree now required to enter physical therapy practice.

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Practice location Address checks out

9850 19th St Apt 186
Alta Loma, CA 91737-4232
Phone: (302) 345-2863
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence 39061 (CA)
Physical Therapist Taxonomy 225100000X · Licence J1-0002540 (DE)

Record details

NPI number1548562523
Entity typeIndividual (Type 1)
GenderMale
Credentials PT , DPT
Sole proprietorYes
NPI enumeratedNovember 24, 2010
Last updated in NPPESNovember 30, 2021
Certification dateNovember 30, 2021

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