Individual
ANNETTE PAULSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4435 EASTGATE MALL, SAN DIEGO, CA 92121-1982
(858) 400-4625
Mailing address
20515 AVIS AVE, TORRANCE, CA 90503-3609
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
304623
CA
2251X0800X
Orthopedic Physical Therapist
304623
CA
Other
Enumeration date
08/15/2023
Last updated
08/15/2023
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