Individual
NOE S MADRIGAL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
200 W ARBOR DR, SAN DIEGO, CA 92103-9001
(619) 543-2706
Mailing address
200 W ARBOR DR, SAN DIEGO, CA 92103-9001
(619) 543-2706
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
AT-4905
CA
Other
Enumeration date
07/16/2010
Last updated
07/16/2010
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