Individual
MS. ANNIQUE NOELLE MELESE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PT, DPT, CSCS
Contact information
Practice address
11468 SORRENTO VALLEY RD STE A, SAN DIEGO, CA 92121-1347
(858) 457-3545
(858) 457-0976
Mailing address
11468 SORRENTO VALLEY RD, STE. A, SAN DIEGO, CA 92121-1347
(650) 906-4132
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
39922
CA
225100000X
Physical Therapist
Primary
PT39922
CA
Other
Enumeration date
03/14/2013
Last updated
06/11/2014
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