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Organization
THERAPY SPECIALISTS
Active
Organization
THERAPY SPECIALISTS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. ANNIQUE NOELLE MELESE DPT (PHYSICAL THERAPIST)
(650) 906-4132
Entity
Organization
Contact information
Practice address
2211 MASSACHUSETTS AVE, LEMON GROVE, CA 91945-3616
(619) 698-0903
Mailing address
3760 CONVOY ST, SUITE#204, SAN DIEGO, CA 92111-3742
(858) 514-0375
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
39922
CA
Other
Enumeration date
02/27/2013
Last updated
02/27/2013
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