Individual
ERIC COLE JULIENNE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
15373 INNOVATION DR STE 220, SAN DIEGO, CA 92128-3425
(858) 217-4369
Mailing address
8645 FLETCHER PKWY UNIT 351, LA MESA, CA 91942-5208
(619) 573-7945
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
48169
CA
Other
Enumeration date
05/19/2022
Last updated
05/19/2022
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