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Individual

ALEXANDER MIRTH

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
4445 EASTGATE MALL STE 105, SAN DIEGO, CA 92121-1979
(858) 412-6080
(858) 412-6376
Mailing address
4445 EASTGATE MALL STE 105, SAN DIEGO, CA 92121-1979
(858) 412-6080
(858) 412-6376

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT308187
CA

Other

Enumeration date
09/24/2025
Last updated
09/24/2025
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