Individual
MICHELLE CHAMPLIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
404 CAMINO DEL RIO S STE 508, SAN DIEGO, CA 92108-3503
(619) 285-1002
Mailing address
404 CAMINO DEL RIO S STE 508, SAN DIEGO, CA 92108-3503
(619) 285-1002
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
AT1877
CA
Other
Enumeration date
09/25/2014
Last updated
09/25/2014
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