Individual
MELISSA MARIE DE LA O
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
32261 CAMINO CAPISTRANO, SUITE D101, SAN JUAN CAPISTRANO, CA 92675-3746
(949) 429-2155
(949) 429-2151
Mailing address
32261 CAMINO CAPISTRANO, SUITE D101, SAN JUAN CAPISTRANO, CA 92675-3746
(949) 429-2155
(949) 429-2151
Taxonomy
Speciality
Code
Description
License number
State
2251X0800X
Orthopedic Physical Therapist
Primary
PT32233
CA
Other
Enumeration date
11/07/2007
Last updated
10/04/2013
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