Individual
THOMAS ROBERT MISSETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
8380 CENTER DR STE E, LA MESA, CA 91942-2952
(619) 466-6077
Mailing address
8380 CENTER DR STE E, LA MESA, CA 91942-2952
(619) 466-6077
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA49143
CA
Other
Enumeration date
04/01/2018
Last updated
04/01/2018
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