Individual
DR. ANDREW JOSEPH PAVLOV
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT, DPT, CSCS
Contact information
Practice address
4635 MISSION GORGE PL STE B, SAN DIEGO, CA 92120-4145
(619) 501-9037
(619) 501-9038
Mailing address
1084 N. EL CAMINO REAL, B-351, ENCINITAS, CA 92024
(760) 918-9200
(760) 918-9203
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
293463
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
293463
CA PT LICENSE
CA
Enumeration date
08/15/2017
Last updated
08/15/2017
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