Individual
DARREN DALISAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
4435 EASTGATE MALL STE 120, SAN DIEGO, CA 92121-1980
(858) 587-8669
Mailing address
12849 SHADY OAK CT, POWAY, CA 92064-6053
(619) 913-2048
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA48136
CA
Other
Enumeration date
11/25/2019
Last updated
11/25/2019
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