Individual
MARY ELIZABETH MANDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
1246 E MAIN ST STE 109, EL CAJON, CA 92021-7206
(619) 441-1200
(619) 441-1215
Mailing address
120 THRASHER WAY, EL CAJON, CA 92020-2632
(619) 469-0810
Taxonomy
Speciality
Code
Description
License number
State
2251P0200X
Pediatric Physical Therapist
Primary
15874
CA
Other
Enumeration date
07/31/2006
Last updated
02/28/2018
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