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Individual

AMRATHA PHATAK

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
7063 CANTABERRA CT, SAN DIEGO, CA 92129-4648
(858) 225-9150
Mailing address
7063 CANTABERRA CT, SAN DIEGO, CA 92129-4648
(858) 225-9150

Taxonomy

Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
8864
CA

Other

Enumeration date
07/14/2021
Last updated
07/14/2021
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