Whalio Doctors

NPI 1003026311

Kellyanne Rose

Practitioner Physical Therapy Assistant La Mesa, CA

Practice location

Address
9000 Wakarusa St, La Mesa, CA 91942-3307
Phone
(619) 740-4600
Mailing address
3706 Georgia St APT 8, San Diego, CA 92103-7625

Registered specialties

Physical Therapy Assistant Primary
Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 225200000X Licence AT8276 (CA)

Registry record

NPI
1003026311
Entity type
Individual
Sex (as registered)
Female
NPI issued
23 May 2007
Record last updated
8 Jul 2007

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.