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Michael Runge, PT, DPT

Physical Therapist in San Marcos, CA. Individual provider (NPI-1).

NPI number1083172712
StatusActive
Last updated in NPPESMar 12, 2019

Details

NPI
1083172712
Entity type
Individual (NPI-1)
Name
Michael Runge
Credential
PT, DPT
Sex
Male
Sole proprietor
Yes
Enumeration date
Mar 12, 2019
Last updated
Mar 12, 2019

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
225100000X Physical Therapist296384CAYes

Practice location

370 Mulberry Dr Ste C
San Marcos, CA 92069-1950

Phone 760-798-1769

Mailing address

645 Alder Dr
San Marcos, CA 92069-9610

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