Individual
CHRISTINA VAN ERT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
9610 GRANITE RIDGE DR, SAN DIEGO, CA 92123-2684
(858) 499-2600
Mailing address
9610 GRANITE RIDGE DR, SAN DIEGO, CA 92123-2684
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PT293499
PT LICENSE
CA
Enumeration date
08/21/2017
Last updated
08/21/2017
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