Individual
MS. MICHELLE RENEE PAUL
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
PTA, ATC
Contact information
Practice address
647 CAMINO DE LOS MARES, SAN CLEMENTE, CA 92673-2825
(949) 240-0600
Mailing address
26602 EL TOBOSO, MISSION VIEJO, CA 92691-5928
(949) 582-2117
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
AT 2864
CA
Other
Enumeration date
03/29/2006
Last updated
07/08/2007
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