Individual
JONATHAN ALAN WELSH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
9661 MARILLA DR, LAKESIDE, CA 92040-2815
(619) 823-0907
Mailing address
9661 MARILLA DR, LAKESIDE, CA 92040-2815
(619) 823-0907
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA48625
CA
Other
Enumeration date
06/08/2017
Last updated
06/08/2017
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