Individual
JEREMY C SANTOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
220 E 24TH ST, NATIONAL CITY, CA 91950-6705
(619) 474-6741
Mailing address
1396 MONTERA ST, CHULA VISTA, CA 91913-1807
(619) 948-1371
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA49596
CA
Other
Enumeration date
12/16/2018
Last updated
12/16/2018
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