NPI 1003206970

Ivanova Guillen, PTA

Practitioner Physical Therapy Assistant San Diego, CA

Practice location

Address: 9089 Clairemont Mesa Blvd Suite 200, San Diego, CA 92123-1234
Phone: (800) 787-6787
Mailing address: 3541 Valley Rd APT 3, Bonita, CA 91902-4161

Registered specialties

Physical Therapy Assistant Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 225200000X Licence AT10270 (CA)

Other Physical Therapy Assistant providers in California →

Registry record

NPI: 1003206970
Entity type: Individual
Sex (as registered): Female
NPI issued: 30 Jan 2015
Record last updated: 30 Jan 2015

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.