Individual
DR. JOHAN MERLE BRANDL AMUNDSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT, DPT
Contact information
Practice address
120 C AVE, CORONADO, CA 92118-1979
(858) 225-7222
Mailing address
120 C AVE, CORONADO, CA 92118-1979
(858) 225-7222
Taxonomy
Speciality
Code
Description
License number
State
2251G0304X
Geriatric Physical Therapist
305702
CA
2251S0007X
Sports Physical Therapist
305702
CA
2251X0800X
Orthopedic Physical Therapist
Primary
305702
CA
Other
Enumeration date
02/26/2024
Last updated
02/26/2024
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