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Individual

MICHAEL MAGYAR

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
12400 HIGH BLUFF DR, SAN DIEGO, CA 92130-3077
(866) 871-8519
Mailing address
7931 STATE ROUTE 193, WILLIAMSFIELD, OH 44093-9729

Taxonomy

Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
2125051
TX
225200000X
Physical Therapy Assistant
A4554
MD
225200000X
Physical Therapy Assistant
PTA-A03439
KY
225200000X
Physical Therapy Assistant
Primary
PTA010404
OH

Other

Enumeration date
04/20/2017
Last updated
04/20/2017
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