Individual
WILLIAM DYKENS JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PTA, CCS
Contact information
Practice address
2719 LOKER AVE W STE A, CARLSBAD, CA 92010-6679
(760) 918-9200
(760) 918-9203
Mailing address
1551 UNION ST UNIT 910, SAN DIEGO, CA 92101-3445
(858) 213-7558
(760) 918-9203
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
49110
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
49110
PHYSICAL THERAPY ASSISTANT
CA
Enumeration date
02/13/2018
Last updated
02/13/2018
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