Individual
MR. ADAM SCOTT IANNAZZO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
198 W MAIN ST, EL CAJON, CA 92020-3399
(619) 444-6113
(619) 719-5525
Mailing address
9731 W CANYON TER, #1, SAN DIEGO, CA 92123-4668
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
28858
CA
Other
Enumeration date
04/18/2007
Last updated
02/27/2025
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