Individual
MICHAEL EATON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
955 LANE AVE STE 201, CHULA VISTA, CA 91914-4525
(619) 421-9521
Mailing address
885 CANARIOS CT STE 110, CHULA VISTA, CA 91910-7877
(619) 656-5102
Taxonomy
Speciality
Code
Description
License number
State
2251X0800X
Orthopedic Physical Therapist
Primary
PT292907
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PT292907
PT LICENSE
CA
Enumeration date
03/06/2017
Last updated
01/05/2023
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