Judy Yin Ping Mak, PT
Physical Therapist in San Diego, CA. Individual provider (NPI-1).
NPI number1336780949
StatusActive
Last updated in NPPESJun 29, 2021
Details
- NPI
- 1336780949
- Entity type
- Individual (NPI-1)
- Name
- Judy Yin Ping Mak
- Credential
- PT
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Oct 4, 2019
- Certification date
- Jun 29, 2021
- Last updated
- Jun 29, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 225100000X | Physical Therapist | 26760 | CA | Yes |
Practice location
15004 Innovation DrSan Diego, CA 92128-3491
Phone 858-605-7189
Mailing address
10790 Rancho Bernardo RdSan Diego, CA 92127-5705
Phone 858-626-5546
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