Individual
MARK ECKERT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
4405 60TH ST, SAN DIEGO, CA 92115-5442
(619) 583-2199
Mailing address
4405 60TH ST, SAN DIEGO, CA 92115-5442
(619) 583-2199
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
8844
CA
Other
Enumeration date
10/30/2008
Last updated
10/30/2008
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