Individual
KRISTIAN TOBIAS KJELDSEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
P.T.A.
Contact information
Practice address
2175 FOOTHILL DR, VISTA, CA 92084-5804
(760) 445-7530
Mailing address
2175 FOOTHILL DR, VISTA, CA 92084-5804
(760) 445-7530
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
AT5967
CA
Other
Enumeration date
12/12/2012
Last updated
12/12/2012
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