Jeremy Thach Le
Physical Therapy Assistant in San Diego, CA. Individual provider (NPI-1).
NPI number1548094428
StatusActive
Last updated in NPPESAug 31, 2024
Details
- NPI
- 1548094428
- Entity type
- Individual (NPI-1)
- Name
- Jeremy Thach Le
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Aug 31, 2024
- Certification date
- Aug 31, 2024
- Last updated
- Aug 31, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 225200000X | Physical Therapy Assistant | 53447 | CA | Yes |
Practice location
2650 Camino Del Rio N Ste 200San Diego, CA 92108-1631
Phone 619-295-3000
Mailing address
13433 Robley Ranch RdPoway, CA 92064-7009
Phone 858-231-1447
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All 220 Physical Therapy Assistant providers in San Diego · All 61,118 providers in San Diego
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