Individual
JEREMY THACH LE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2650 CAMINO DEL RIO N STE 200, SAN DIEGO, CA 92108-1631
(619) 295-3000
Mailing address
13433 ROBLEY RANCH RD, POWAY, CA 92064-7009
(858) 231-1447
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
53447
CA
Other
Enumeration date
08/31/2024
Last updated
08/31/2024
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