Individual
ALLEN NAMBOOTHIRI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1092 N EL CAMINO REAL, ENCINITAS, CA 92024-1367
(760) 633-6507
Mailing address
10790 RANCHO BERNARDO RD, SAN DIEGO, CA 92127-5705
(760) 633-6507
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT300249
CA
Other
Enumeration date
05/06/2021
Last updated
12/14/2022
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