Individual
MS. ANN RAGHAVAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
15004 INNOVATION DR, SAN DIEGO, CA 92128-3491
(858) 605-7189
Mailing address
10790 RANCHO BERNARD RD,, MAILDROP 4S-205, SAN DIEGO, CA 92127-5705
(858) 927-5775
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
26022
CA
Other
Enumeration date
09/23/2019
Last updated
09/23/2019
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