NPI 1023572203

Derek Mateo

Practitioner Physical Therapy Assistant San Diego, CA

Practice location

Address: 1201 34th St, San Diego, CA 92102-2416
Phone: (619) 232-2946
Mailing address: 11982 Dapple Way, San Diego, CA 92128-5245

Registered specialties

Physical Therapy Assistant Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 225200000X

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Registry record

NPI: 1023572203
Entity type: Individual
Sex (as registered): Male
NPI issued: 22 Jan 2019
Record last updated: 22 Jan 2019

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.