Individual
MYRA SANTIAGO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1534 HAWKEN DR, SAN DIEGO, CA 92154-4826
(619) 348-2416
Mailing address
1534 HAWKEN DR, SAN DIEGO, CA 92154-4826
(619) 348-2416
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
8690
CA
Other
Enumeration date
01/19/2015
Last updated
06/18/2026
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