Individual
MR. ASHOK HOOVAYYA SURATKAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MHS (PT)
Contact information
Practice address
15004 INNOVATION DR, SAN DIEGO, CA 92128-3491
(858) 487-1800
Mailing address
15004 INNOVATION DR, SAN DIEGO, CA 92128-3491
(858) 487-1800
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT 21646
CA
Other
Enumeration date
09/27/2008
Last updated
09/27/2008
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